相互作用
Probenecid + Valganciclovir
重症度: 重大
Probenecid and Valganciclovir: major 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
Probenecid decreases the renal clearance of ganciclovir, the active form of valganciclovir, and increases systemic exposure. This raises the risk of ganciclovir toxicity, notably myelosuppression and neurotoxicity including seizures.
この相互作用をわかりやすく説明すると
Probenecid and Valganciclovir 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.
Probenecid belongs to Genitourinary; Valganciclovir belongs to Anti Virals.
なぜ起こるのか
Probenecid inhibits renal tubular secretion of ganciclovir via organic anion transporters.
対処法
Avoid the combination where possible; if used, monitor complete blood counts and neurologic status and consider reducing the valganciclovir dose.
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、ProbenecidとValganciclovir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。
Probenecidのその他の相互作用
Valganciclovirのその他の相互作用
よくある質問
Can I take Probenecid with Valganciclovir?
MediHelp rates the interaction as major. Probenecid and Valganciclovir 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. Probenecid decreases the renal clearance of ganciclovir, the active form of valganciclovir, and increases systemic exposure. This raises the risk of ganciclovir toxicity, notably myelosuppression and neurotoxicity including seizures.
How serious is the interaction between Probenecid and Valganciclovir?
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 used, monitor complete blood counts and neurologic status and consider reducing the valganciclovir dose.
What other medicines interact with Probenecid?
MediHelp also lists interactions of Probenecid with, for example, Ketorolac intranasal, Ketorolac, Baricitinib. The full list is on the Probenecid 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。
