Interações medicamentosas
Arsenic trioxide + Capecitabine
Gravidade: Grave
Arsenic trioxide and Capecitabine: major interaction.
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Resumo
Arsenic trioxide markedly prolongs the QT interval and can cause torsades de pointes. Fluorouracil-class drugs have rare reports of cardiotoxicity, so the combination adds uncertain additional risk on top of a high baseline risk.
O que esta interação significa em palavras simples
Arsenic trioxide and Capecitabine 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.
Arsenic trioxide belongs to Oncology; Capecitabine belongs to Oncology.
Por que acontece
Arsenic trioxide blocks cardiac repolarization currents; capecitabine contribution to QT effect is weak and not well established.
O que fazer
Check baseline ECG and keep potassium and magnesium within normal range. Monitor ECG during treatment and avoid other QT-prolonging drugs.
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 Capecitabine
Outras interações de Arsenic trioxide
- Amiodarone + Arsenic trioxide Contraindicada
- Amisulpride + Arsenic trioxide Contraindicada
- Arsenic trioxide + Clomipramine Contraindicada
- Arsenic trioxide + Dronedarone Contraindicada
- Arsenic trioxide + Fluphenazine Contraindicada
- Arsenic trioxide + Gemifloxacin Contraindicada
Perguntas frequentes
Can I take Arsenic trioxide with Capecitabine?
MediHelp rates the interaction as major. Arsenic trioxide and Capecitabine 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. Arsenic trioxide markedly prolongs the QT interval and can cause torsades de pointes. Fluorouracil-class drugs have rare reports of cardiotoxicity, so the combination adds uncertain additional risk on top of a high baseline risk.
How serious is the interaction between Arsenic trioxide and Capecitabine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check baseline ECG and keep potassium and magnesium within normal range. Monitor ECG during treatment and avoid other QT-prolonging drugs.
What other medicines interact with Capecitabine?
MediHelp also lists interactions of Capecitabine with, for example, Adenovirus types 4 and 7 live, Axicabtagene ciloleucel, Brexucabtagene autoleucel. The full list is on the Capecitabine page.
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