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Interações medicamentosas

Busulfan + Itraconazole

Gravidade: Grave

Busulfan and Itraconazole: major 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

Itraconazole can decrease busulfan clearance and raise its exposure. This may increase myelosuppression and hepatic veno-occlusive disease, which is of particular concern in transplant conditioning.

O que esta interação significa em palavras simples

Busulfan and Itraconazole 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.

Busulfan belongs to Oncology; Itraconazole belongs to Anti Fungals.

Nível de evidência: Moderate

Por que acontece

Itraconazole inhibits CYP3A4 and glutathione-related busulfan metabolism, reducing busulfan clearance.

O que fazer

Monitor busulfan levels where available and adjust the dose accordingly. Watch blood counts and liver function closely.

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?

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 Busulfan with Itraconazole?

MediHelp rates the interaction as major. Busulfan and Itraconazole 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. Itraconazole can decrease busulfan clearance and raise its exposure. This may increase myelosuppression and hepatic veno-occlusive disease, which is of particular concern in transplant conditioning.

How serious is the interaction between Busulfan and Itraconazole?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor busulfan levels where available and adjust the dose accordingly. Watch blood counts and liver function closely.

What other medicines interact with Itraconazole?

MediHelp also lists interactions of Itraconazole with, for example, Alfuzosin, Alprazolam, Avanafil. The full list is on the Itraconazole page.

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