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相互作用

Irinotecan + Telotristat etiprate

重症度: 中等度

Irinotecan and Telotristat etiprate: moderate interaction.

最終更新日

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概要

Irinotecan is converted to its active metabolite SN-38 by carboxylesterases, and telotristat's metabolite may inhibit CES2. This could reduce activation and efficacy, or alter toxicity, though clinical data are lacking.

この相互作用をわかりやすく説明すると

Irinotecan and Telotristat etiprate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Irinotecan belongs to Oncology; Telotristat etiprate belongs to Gastrointestinal Tract.

エビデンスレベル: Low

なぜ起こるのか

Carboxylesterase 2 inhibition may reduce conversion of irinotecan to SN-38.

対処法

Monitor tumour response and for diarrhoea and neutropenia during co-administration.

薬剤師に尋ねること

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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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、IrinotecanとTelotristat etiprate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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よくある質問

Can I take Irinotecan with Telotristat etiprate?

MediHelp rates the interaction as moderate. Irinotecan and Telotristat etiprate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Irinotecan is converted to its active metabolite SN-38 by carboxylesterases, and telotristat's metabolite may inhibit CES2. This could reduce activation and efficacy, or alter toxicity, though clinical data are lacking.

How serious is the interaction between Irinotecan and Telotristat etiprate?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor tumour response and for diarrhoea and neutropenia during co-administration.

What other medicines interact with Telotristat etiprate?

MediHelp also lists interactions of Telotristat etiprate with, for example, Bupropion, Capecitabine, Everolimus. The full list is on the Telotristat etiprate 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。

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