相互作用
Griseofulvin + Thalidomide
重症度: 重大
Griseofulvin and Thalidomide: major interaction.
最終更新日
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概要
Griseofulvin induces hepatic enzymes and can lower hormonal contraceptive exposure, which matters because thalidomide is a potent teratogen requiring highly reliable contraception. The interaction is with the contraceptive rather than with thalidomide itself.
この相互作用をわかりやすく説明すると
Griseofulvin and Thalidomide 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.
Griseofulvin belongs to Anti Fungals; Thalidomide belongs to Miscellaneous.
なぜ起こるのか
Enzyme induction by griseofulvin accelerates contraceptive hormone metabolism, reducing contraceptive efficacy.
対処法
In women of childbearing potential, do not rely on hormonal contraception alone during and for a period after griseofulvin; use an additional barrier method or a non-hormonal highly effective method such as an IUD.
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?
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アカウントを作成してPro+トライアルを始めると、GriseofulvinとThalidomide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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Thalidomideのその他の相互作用
Griseofulvinのその他の相互作用
よくある質問
Can I take Griseofulvin with Thalidomide?
MediHelp rates the interaction as major. Griseofulvin and Thalidomide 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. Griseofulvin induces hepatic enzymes and can lower hormonal contraceptive exposure, which matters because thalidomide is a potent teratogen requiring highly reliable contraception. The interaction is with the contraceptive rather than with thalidomide itself.
How serious is the interaction between Griseofulvin and Thalidomide?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: In women of childbearing potential, do not rely on hormonal contraception alone during and for a period after griseofulvin; use an additional barrier method or a non-hormonal highly effective method such as an IUD.
What other medicines interact with Thalidomide?
MediHelp also lists interactions of Thalidomide with, for example, Bortezomib, Carbamazepine, Modafinil. The full list is on the Thalidomide 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。