相互作用
Natalizumab + Vedolizumab
重症度: 併用禁忌
Natalizumab and Vedolizumab: contraindicated interaction.
最終更新日
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
概要
Both drugs block integrin-mediated lymphocyte trafficking, natalizumab broadly including the CNS and vedolizumab selectively in the gut. Combined use may raise the risk of PML and other infections.
この相互作用をわかりやすく説明すると
Natalizumab and Vedolizumab 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.
Natalizumab belongs to Gastrointestinal Tract; Vedolizumab belongs to Gastrointestinal Tract.
なぜ起こるのか
Overlapping integrin antagonism causing additive impairment of lymphocyte trafficking.
対処法
Do not use together. If switching, stop one agent before starting the other and monitor for infection and neurological symptoms.
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、NatalizumabとVedolizumab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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Natalizumabのその他の相互作用
Vedolizumabのその他の相互作用
よくある質問
Can I take Natalizumab with Vedolizumab?
MediHelp rates the interaction as contraindicated. Natalizumab and Vedolizumab 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. Both drugs block integrin-mediated lymphocyte trafficking, natalizumab broadly including the CNS and vedolizumab selectively in the gut. Combined use may raise the risk of PML and other infections.
How serious is the interaction between Natalizumab and Vedolizumab?
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 use together. If switching, stop one agent before starting the other and monitor for infection and neurological symptoms.
What other medicines interact with Natalizumab?
MediHelp also lists interactions of Natalizumab with, for example, Axicabtagene ciloleucel, Baricitinib, Belatacept. The full list is on the Natalizumab 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。
