Interações medicamentosas
Clarithromycin + Cobimetinib
Gravidade: Grave
Clarithromycin and Cobimetinib: major interaction.
Última atualização
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
Clarithromycin, a strong CYP3A4 inhibitor, markedly increases cobimetinib exposure and may raise the risk of adverse effects such as hemorrhage, serous retinopathy, rhabdomyolysis, and cardiomyopathy.
O que esta interação significa em palavras simples
Clarithromycin and Cobimetinib 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.
Clarithromycin belongs to Anti Bacterial; Cobimetinib belongs to Oncology.
Por que acontece
Clarithromycin inhibits CYP3A4-mediated metabolism of cobimetinib, greatly increasing its exposure.
O que fazer
Avoid the combination and use a non-CYP3A4-inhibiting antibiotic such as azithromycin. If a strong inhibitor is short-term unavoidable, reduce cobimetinib dose per labeling and monitor 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?
Para assinantes do Pro+
Desbloqueie a página completa
Crie uma conta e comece um teste do Pro+ para desbloquear a orientação completa de conduta para Clarithromycin e Cobimetinib, as notas adicionais, os detalhes da evidência e o verificador de interações para uma prescrição completa.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Experimente o Pro+ grátis por 14 dias na web. Sem cartão.
Outras interações de Clarithromycin
- Astemizole + Clarithromycin Contraindicada
- Avanafil + Clarithromycin Contraindicada
- Cisapride + Clarithromycin Contraindicada
- Clarithromycin + Colchicine Contraindicada
- Clarithromycin + Conivaptan Contraindicada
- Clarithromycin + Dihydroergotamine Contraindicada
Outras interações de Cobimetinib
- Cobimetinib + Efavirenz Contraindicada
- Cobimetinib + Posaconazole Contraindicada
- Amobarbital + Cobimetinib Grave
- Apalutamide + Cobimetinib Grave
- Aprepitant + Cobimetinib Grave
- Bosentan + Cobimetinib Grave
Perguntas frequentes
Can I take Clarithromycin with Cobimetinib?
MediHelp rates the interaction as major. Clarithromycin and Cobimetinib 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. Clarithromycin, a strong CYP3A4 inhibitor, markedly increases cobimetinib exposure and may raise the risk of adverse effects such as hemorrhage, serous retinopathy, rhabdomyolysis, and cardiomyopathy.
How serious is the interaction between Clarithromycin and Cobimetinib?
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 use a non-CYP3A4-inhibiting antibiotic such as azithromycin. If a strong inhibitor is short-term unavoidable, reduce cobimetinib dose per labeling and monitor closely.
What other medicines interact with Clarithromycin?
MediHelp also lists interactions of Clarithromycin with, for example, Astemizole, Avanafil, Cisapride. The full list is on the Clarithromycin page.
Monografias completas, posologia e verificador de interações no app MediHelp
Abra a referência completa, verifique interações entre vários medicamentos e use as ferramentas de posologia no app MediHelp.
