Interações medicamentosas
Chloramphenicol + Pralsetinib
Gravidade: Grave
Chloramphenicol and Pralsetinib: 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.
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Resumo
Pralsetinib is cleared by CYP3A4, and chloramphenicol may increase its exposure. This may heighten adverse effects such as hepatotoxicity, hypertension, pneumonitis and myelosuppression.
O que esta interação significa em palavras simples
Chloramphenicol and Pralsetinib 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; Pralsetinib belongs to Oncology.
Por que acontece
Chloramphenicol inhibits CYP3A4, reducing pralsetinib clearance.
O que fazer
Avoid the combination where possible. If required, reduce the pralsetinib dose per labeling for CYP3A4 inhibitors and monitor liver tests and blood counts.
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 Pralsetinib
Perguntas frequentes
Can I take Chloramphenicol with Pralsetinib?
MediHelp rates the interaction as major. Chloramphenicol and Pralsetinib 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. Pralsetinib is cleared by CYP3A4, and chloramphenicol may increase its exposure. This may heighten adverse effects such as hepatotoxicity, hypertension, pneumonitis and myelosuppression.
How serious is the interaction between Chloramphenicol and Pralsetinib?
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 where possible. If required, reduce the pralsetinib dose per labeling for CYP3A4 inhibitors and monitor liver tests and blood counts.
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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