相互作用
Glucarpidase + Pemetrexed
重症度: 軽度
Glucarpidase and Pemetrexed: minor interaction.
最終更新日
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概要
Glucarpidase is an enzyme that cleaves the glutamate residue from folates and classical antifolates. Pemetrexed has a glutamate moiety and may therefore be hydrolyzed, which could lower its exposure and reduce antitumor effect if given close in time. The clinical relevance is uncertain because glucarpidase is used for methotrexate toxicity.
この相互作用をわかりやすく説明すると
Glucarpidase and Pemetrexed have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Glucarpidase belongs to Miscellaneous; Pemetrexed belongs to Oncology.
なぜ起こるのか
Glucarpidase hydrolyzes the terminal glutamate of antifolates, potentially inactivating pemetrexed.
対処法
Avoid giving pemetrexed within the period around a glucarpidase dose unless clinically required, and review the intended pemetrexed schedule if glucarpidase is used for methotrexate rescue.
薬剤師に尋ねること
- Is there anything I should notice while taking both?
- Do I need to tell my doctor at the next visit?
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、GlucarpidaseとPemetrexed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
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Pemetrexedのその他の相互作用
Glucarpidaseのその他の相互作用
よくある質問
Can I take Glucarpidase with Pemetrexed?
MediHelp rates the interaction as minor. Glucarpidase and Pemetrexed have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Glucarpidase is an enzyme that cleaves the glutamate residue from folates and classical antifolates. Pemetrexed has a glutamate moiety and may therefore be hydrolyzed, which could lower its exposure and reduce antitumor effect if given close in time. The clinical relevance is uncertain because glucarpidase is used for methotrexate toxicity.
How serious is the interaction between Glucarpidase and Pemetrexed?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid giving pemetrexed within the period around a glucarpidase dose unless clinically required, and review the intended pemetrexed schedule if glucarpidase is used for methotrexate rescue.
What other medicines interact with Pemetrexed?
MediHelp also lists interactions of Pemetrexed with, for example, Bacitracin, Brexucabtagene autoleucel, Celecoxib. The full list is on the Pemetrexed 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。
