相互作用
Mercaptopurine + Ublituximab
重症度: 重大
Mercaptopurine and Ublituximab: major interaction.
最終更新日
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概要
Ublituximab depletes B cells, and mercaptopurine adds myelosuppressive and immunosuppressive effects. Together they can increase the risk of serious infections.
この相互作用をわかりやすく説明すると
Mercaptopurine and Ublituximab 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.
Mercaptopurine belongs to Oncology; Ublituximab belongs to Miscellaneous.
なぜ起こるのか
Additive immunosuppression from anti-CD20 B-cell depletion and purine antimetabolite lymphocyte and marrow suppression.
対処法
Avoid combining where possible, or monitor closely for infection and check blood counts regularly. Consider the duration of effect of each drug when planning sequential therapy.
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?
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、MercaptopurineとUblituximab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
WebでPro+を14日間無料でお試し。カード登録不要。
Mercaptopurineのその他の相互作用
Ublituximabのその他の相互作用
よくある質問
Can I take Mercaptopurine with Ublituximab?
MediHelp rates the interaction as major. Mercaptopurine and Ublituximab 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. Ublituximab depletes B cells, and mercaptopurine adds myelosuppressive and immunosuppressive effects. Together they can increase the risk of serious infections.
How serious is the interaction between Mercaptopurine and Ublituximab?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combining where possible, or monitor closely for infection and check blood counts regularly. Consider the duration of effect of each drug when planning sequential therapy.
What other medicines interact with Mercaptopurine?
MediHelp also lists interactions of Mercaptopurine with, for example, Adenovirus types 4 and 7 live, Azathioprine, Bcg vaccine live. The full list is on the Mercaptopurine 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。
