相互作用
Ketorolac + Methotrexate
重症度: 併用禁忌
Ketorolac and Methotrexate: contraindicated interaction.
最終更新日
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概要
Ketorolac can sharply increase methotrexate exposure and impair renal function, leading to severe myelosuppression, mucositis and renal injury, particularly with high-dose methotrexate.
この相互作用をわかりやすく説明すると
Ketorolac and Methotrexate are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Ketorolac belongs to Musculoskeletal; Methotrexate belongs to Oncology.
なぜ起こるのか
Reduced renal tubular secretion of methotrexate combined with ketorolac-induced reduction in renal perfusion.
対処法
Do not combine ketorolac with high-dose methotrexate and use a non-NSAID analgesic instead. Avoid it with low-dose methotrexate where possible, particularly in renal impairment.
薬剤師に尋ねること
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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、KetorolacとMethotrexate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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Methotrexateのその他の相互作用
- Acitretin + Methotrexate 併用禁忌
- Adenovirus types 4 and 7 live + Methotrexate 併用禁忌
- Influenza virus vaccine quadrivalent intranasal + Methotrexate 併用禁忌
- Measles mumps and rubella vaccine live + Methotrexate 併用禁忌
- Measles mumps and rubella vaccine + Methotrexate 併用禁忌
- Measles mumps rubella and varicella vaccine live + Methotrexate 併用禁忌
Ketorolacのその他の相互作用
よくある質問
Can I take Ketorolac with Methotrexate?
MediHelp rates the interaction as contraindicated. Ketorolac and Methotrexate are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Ketorolac can sharply increase methotrexate exposure and impair renal function, leading to severe myelosuppression, mucositis and renal injury, particularly with high-dose methotrexate.
How serious is the interaction between Ketorolac and Methotrexate?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not combine ketorolac with high-dose methotrexate and use a non-NSAID analgesic instead. Avoid it with low-dose methotrexate where possible, particularly in renal impairment.
What other medicines interact with Methotrexate?
MediHelp also lists interactions of Methotrexate with, for example, Acitretin, Adenovirus types 4 and 7 live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Methotrexate 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。
