Interações medicamentosas
Apalutamide + Cariprazine
Gravidade: Grave
Apalutamide and Cariprazine: major interaction.
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Resumo
Apalutamide is a strong CYP3A4 inducer and may lower exposure to cariprazine and its active metabolites, which are cleared mainly by CYP3A4. This may reduce antipsychotic efficacy.
O que esta interação significa em palavras simples
Apalutamide and Cariprazine 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.
Apalutamide belongs to Endocrine; Cariprazine belongs to Central Nervous System.
Por que acontece
Induction of CYP3A4 by apalutamide increases cariprazine metabolism and lowers plasma concentrations.
O que fazer
Concomitant use of cariprazine with strong CYP3A4 inducers is not recommended, so choose an alternative where possible. If coadministered, monitor closely for relapse and adjust the cariprazine dose according to response.
O que perguntar ao farmacêutico
- 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?
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Outras interações de Cariprazine
Outras interações de Apalutamide
- Apalutamide + Cabotegravir Contraindicada
- Apalutamide + Cobicistat Contraindicada
- Apalutamide + Doravirine Contraindicada
- Apalutamide + Elbasvir / grazoprevir Contraindicada
- Apalutamide + Ensitrelvir Contraindicada
- Apalutamide + Fostemsavir Contraindicada
Perguntas frequentes
Can I take Apalutamide with Cariprazine?
MediHelp rates the interaction as major. Apalutamide and Cariprazine 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. Apalutamide is a strong CYP3A4 inducer and may lower exposure to cariprazine and its active metabolites, which are cleared mainly by CYP3A4. This may reduce antipsychotic efficacy.
How serious is the interaction between Apalutamide and Cariprazine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Concomitant use of cariprazine with strong CYP3A4 inducers is not recommended, so choose an alternative where possible. If coadministered, monitor closely for relapse and adjust the cariprazine dose according to response.
What other medicines interact with Cariprazine?
MediHelp also lists interactions of Cariprazine with, for example, Alfentanil, Amisulpride, Amobarbital. The full list is on the Cariprazine page.
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