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Interações medicamentosas

Acalabrutinib + Pyrimethamine

Gravidade: Moderada

Acalabrutinib and Pyrimethamine: moderate interaction.

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Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.

O conteúdo clínico desta página está disponível apenas em inglês.

Resumo

Pyrimethamine is a folate antagonist that can cause bone marrow suppression, and acalabrutinib can cause cytopenias such as neutropenia and thrombocytopenia. Combined use may increase the risk of myelosuppression.

O que esta interação significa em palavras simples

Acalabrutinib and Pyrimethamine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Acalabrutinib belongs to Oncology; Pyrimethamine belongs to Anti Parasitic.

Nível de evidência: Low

Por que acontece

Additive myelosuppressive effects; pyrimethamine inhibits dihydrofolate reductase.

O que fazer

Monitor complete blood counts regularly. Give folinic acid with pyrimethamine as indicated and reduce or interrupt doses if cytopenias develop.

O que perguntar ao farmacêutico

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Perguntas frequentes

Can I take Acalabrutinib with Pyrimethamine?

MediHelp rates the interaction as moderate. Acalabrutinib and Pyrimethamine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Pyrimethamine is a folate antagonist that can cause bone marrow suppression, and acalabrutinib can cause cytopenias such as neutropenia and thrombocytopenia. Combined use may increase the risk of myelosuppression.

How serious is the interaction between Acalabrutinib and Pyrimethamine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor complete blood counts regularly. Give folinic acid with pyrimethamine as indicated and reduce or interrupt doses if cytopenias develop.

What other medicines interact with Pyrimethamine?

MediHelp also lists interactions of Pyrimethamine with, for example, Deferiprone, Eliglustat, Brexpiprazole. The full list is on the Pyrimethamine page.

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