Interações medicamentosas
Certolizumab pegol + Natalizumab
Gravidade: Grave
Certolizumab pegol and Natalizumab: major interaction.
Última atualização Fontes: US FDA label
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Resumo
Natalizumab with TNF blockers increases the risk of infection, and natalizumab labeling cautions against use with immunosuppressants and TNF inhibitors. Progressive multifocal leukoencephalopathy risk is a particular concern.
O que esta interação significa em palavras simples
Certolizumab pegol and Natalizumab 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.
Certolizumab pegol belongs to Musculoskeletal; Natalizumab belongs to Gastrointestinal Tract.
Por que acontece
Additive immunosuppression from TNF-alpha blockade and alpha4-integrin inhibition limiting leukocyte trafficking.
O que fazer
Avoid concurrent use; separate therapies by appropriate washout. Monitor for infection and new neurological symptoms.
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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Referências
Outras interações de Certolizumab pegol
- Adenovirus types 4 and 7 live + Certolizumab pegol Contraindicada
- Bcg intravesical live + Certolizumab pegol Contraindicada
- Bcg vaccine live + Certolizumab pegol Contraindicada
- Certolizumab pegol + Influenza virus vaccine quadrivalent intranasal Contraindicada
- Certolizumab pegol + Measles mumps and rubella vaccine Contraindicada
- Certolizumab pegol + Measles mumps and rubella vaccine live Contraindicada
Outras interações de Natalizumab
- Natalizumab + Vedolizumab Contraindicada
- Axicabtagene ciloleucel + Natalizumab Grave
- Baricitinib + Natalizumab Grave
- Belatacept + Natalizumab Grave
- Brexucabtagene autoleucel + Natalizumab Grave
- Cabazitaxel + Natalizumab Grave
Perguntas frequentes
Can I take Certolizumab pegol with Natalizumab?
MediHelp rates the interaction as major. Certolizumab pegol and Natalizumab 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. Natalizumab with TNF blockers increases the risk of infection, and natalizumab labeling cautions against use with immunosuppressants and TNF inhibitors. Progressive multifocal leukoencephalopathy risk is a particular concern.
How serious is the interaction between Certolizumab pegol and Natalizumab?
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 concurrent use; separate therapies by appropriate washout. Monitor for infection and new neurological symptoms.
What other medicines interact with Certolizumab pegol?
MediHelp also lists interactions of Certolizumab pegol with, for example, Adenovirus types 4 and 7 live, Bcg intravesical live, Bcg vaccine live. The full list is on the Certolizumab pegol page.
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