相互作用
Fingolimod + Pentostatin
重症度: 重大
Fingolimod and Pentostatin: major interaction.
最終更新日
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
概要
Pentostatin causes profound lymphocyte suppression, particularly of T cells, and fingolimod also reduces circulating lymphocytes. Together they may markedly increase susceptibility to opportunistic infection.
この相互作用をわかりやすく説明すると
Fingolimod and Pentostatin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Fingolimod belongs to Central Nervous System; Pentostatin belongs to Oncology.
なぜ起こるのか
Additive immunosuppression via adenosine deaminase inhibition-mediated lymphotoxicity and lymphocyte sequestration.
対処法
Avoid the combination where possible. If needed, monitor lymphocyte counts closely and consider antimicrobial prophylaxis.
薬剤師に尋ねること
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、FingolimodとPentostatinの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
WebでPro+を14日間無料でお試し。カード登録不要。
Fingolimodのその他の相互作用
Pentostatinのその他の相互作用
よくある質問
Can I take Fingolimod with Pentostatin?
MediHelp rates the interaction as major. Fingolimod and Pentostatin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Pentostatin causes profound lymphocyte suppression, particularly of T cells, and fingolimod also reduces circulating lymphocytes. Together they may markedly increase susceptibility to opportunistic infection.
How serious is the interaction between Fingolimod and Pentostatin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible. If needed, monitor lymphocyte counts closely and consider antimicrobial prophylaxis.
What other medicines interact with Fingolimod?
MediHelp also lists interactions of Fingolimod with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Pimozide. The full list is on the Fingolimod page.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。
