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Interações medicamentosas

Chloramphenicol + Nirogacestat

Gravidade: Grave

Chloramphenicol and Nirogacestat: 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

Nirogacestat is metabolized mainly by CYP3A4, so inhibitors increase its exposure. This may worsen diarrhea, hypophosphatemia, hepatotoxicity and other adverse effects.

O que esta interação significa em palavras simples

Chloramphenicol and Nirogacestat 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.

Chloramphenicol belongs to Anti Bacterial; Nirogacestat belongs to Oncology.

Nível de evidência: Moderate

Por que acontece

Chloramphenicol inhibits CYP3A4, reducing nirogacestat clearance.

O que fazer

Avoid the combination and choose another antibiotic. If unavoidable, monitor for toxicity and liver tests and adjust the nirogacestat dose per labeling.

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 Chloramphenicol with Nirogacestat?

MediHelp rates the interaction as major. Chloramphenicol and Nirogacestat 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. Nirogacestat is metabolized mainly by CYP3A4, so inhibitors increase its exposure. This may worsen diarrhea, hypophosphatemia, hepatotoxicity and other adverse effects.

How serious is the interaction between Chloramphenicol and Nirogacestat?

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 the combination and choose another antibiotic. If unavoidable, monitor for toxicity and liver tests and adjust the nirogacestat dose per labeling.

What other medicines interact with Chloramphenicol?

MediHelp also lists interactions of Chloramphenicol with, for example, Adagrasib, Avapritinib, Bcg vaccine live. The full list is on the Chloramphenicol page.

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