相互作用
Nilotinib + Tinidazole
重症度: 重大
Nilotinib and Tinidazole: major interaction.
最終更新日
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概要
Both drugs can prolong the QT interval, and nilotinib also inhibits CYP3A4, which may raise tinidazole exposure. Tinidazole carries a labeled QT warning, so combined use may increase the risk of torsades de pointes, especially with electrolyte disturbances.
この相互作用をわかりやすく説明すると
Nilotinib and Tinidazole 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.
Nilotinib belongs to Oncology; Tinidazole belongs to Anti Parasitic.
なぜ起こるのか
Additive QT prolongation, with possible CYP3A4 inhibition by nilotinib raising tinidazole levels.
対処法
Avoid the combination where possible; if unavoidable, obtain a baseline ECG, correct potassium and magnesium, and monitor the QTc.
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、NilotinibとTinidazole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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Tinidazole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 Nilotinib with Tinidazole?
MediHelp rates the interaction as major. Nilotinib and Tinidazole 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. Both drugs can prolong the QT interval, and nilotinib also inhibits CYP3A4, which may raise tinidazole exposure. Tinidazole carries a labeled QT warning, so combined use may increase the risk of torsades de pointes, especially with electrolyte disturbances.
How serious is the interaction between Nilotinib and Tinidazole?
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 the combination where possible; if unavoidable, obtain a baseline ECG, correct potassium and magnesium, and monitor the QTc.
What other medicines interact with Tinidazole?
MediHelp also lists interactions of Tinidazole with, for example, Disulfiram, Ethanol, Fexinidazole. The full list is on the Tinidazole 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。
