相互作用
Pentostatin + Tofacitinib
重症度: 重大
Pentostatin and Tofacitinib: major interaction.
最終更新日
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概要
Pentostatin causes profound lymphocyte depletion and immunosuppression, so combining it with tofacitinib increases the risk of severe and opportunistic infections. Pentostatin also has other toxicities such as renal and neurologic effects.
この相互作用をわかりやすく説明すると
Pentostatin and Tofacitinib 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.
Pentostatin belongs to Oncology; Tofacitinib belongs to Musculoskeletal.
なぜ起こるのか
Additive immunosuppression from JAK inhibition and adenosine deaminase inhibition causing lymphocyte toxicity.
対処法
Avoid concurrent use and consider holding tofacitinib during pentostatin therapy. If both are needed, monitor for infection and consider prophylaxis.
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、PentostatinとTofacitinib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。
Tofacitinibのその他の相互作用
Pentostatinのその他の相互作用
よくある質問
Can I take Pentostatin with Tofacitinib?
MediHelp rates the interaction as major. Pentostatin and Tofacitinib 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. Pentostatin causes profound lymphocyte depletion and immunosuppression, so combining it with tofacitinib increases the risk of severe and opportunistic infections. Pentostatin also has other toxicities such as renal and neurologic effects.
How serious is the interaction between Pentostatin and Tofacitinib?
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 concurrent use and consider holding tofacitinib during pentostatin therapy. If both are needed, monitor for infection and consider prophylaxis.
What other medicines interact with Tofacitinib?
MediHelp also lists interactions of Tofacitinib with, for example, Baricitinib, Cladribine, Upadacitinib. The full list is on the Tofacitinib 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。
