Interações medicamentosas
Chloramphenicol + Ponatinib
Gravidade: Grave
Chloramphenicol and Ponatinib: major interaction.
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Resumo
Ponatinib is metabolized by CYP3A4, so chloramphenicol may increase its levels. Higher exposure may raise the risk of serious toxicities including vascular occlusion, hypertension, pancreatitis and hepatotoxicity.
O que esta interação significa em palavras simples
Chloramphenicol and Ponatinib 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; Ponatinib belongs to Oncology.
Por que acontece
Chloramphenicol inhibits CYP3A4 metabolism of ponatinib.
O que fazer
Use an alternative antibiotic. If unavoidable, reduce the ponatinib dose and monitor blood pressure, lipase and liver tests.
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 Chloramphenicol
Outras interações de Ponatinib
- Apalutamide + Ponatinib Grave
- Carbamazepine + Ponatinib Grave
- Clarithromycin + Ponatinib Grave
- Daunorubicin + Ponatinib Grave
- Deferiprone + Ponatinib Grave
- Edoxaban + Ponatinib Grave
Perguntas frequentes
Can I take Chloramphenicol with Ponatinib?
MediHelp rates the interaction as major. Chloramphenicol and Ponatinib 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. Ponatinib is metabolized by CYP3A4, so chloramphenicol may increase its levels. Higher exposure may raise the risk of serious toxicities including vascular occlusion, hypertension, pancreatitis and hepatotoxicity.
How serious is the interaction between Chloramphenicol and Ponatinib?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use an alternative antibiotic. If unavoidable, reduce the ponatinib dose and monitor blood pressure, lipase and liver tests.
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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