相互作用
Mefloquine + Nilotinib
重症度: 併用禁忌
Mefloquine and Nilotinib: contraindicated interaction.
最終更新日
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概要
Nilotinib carries a boxed warning for QT prolongation and sudden death, and mefloquine can further prolong the QT interval. The combination substantially increases the risk of torsades de pointes.
この相互作用をわかりやすく説明すると
Mefloquine and Nilotinib 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.
Mefloquine belongs to Anti Parasitic; Nilotinib belongs to Oncology.
なぜ起こるのか
Additive QT prolongation; nilotinib is also a CYP3A4 substrate and inhibitor that may alter mefloquine exposure.
対処法
Avoid the combination and use an antimalarial without QT effects. If it cannot be avoided, monitor the ECG and electrolytes closely.
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、MefloquineとNilotinib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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Mefloquineのその他の相互作用
Nilotinibのその他の相互作用
よくある質問
Can I take Mefloquine with Nilotinib?
MediHelp rates the interaction as contraindicated. Mefloquine and Nilotinib 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. Nilotinib carries a boxed warning for QT prolongation and sudden death, and mefloquine can further prolong the QT interval. The combination substantially increases the risk of torsades de pointes.
How serious is the interaction between Mefloquine and Nilotinib?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination and use an antimalarial without QT effects. If it cannot be avoided, monitor the ECG and electrolytes closely.
What other medicines interact with Mefloquine?
MediHelp also lists interactions of Mefloquine with, for example, Arsenic trioxide, Dronedarone, Ibutilide. The full list is on the Mefloquine 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。
