Interações medicamentosas
Clarithromycin + Elacestrant
Gravidade: Grave
Clarithromycin and Elacestrant: major interaction.
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Resumo
Strong CYP3A4 inhibitors increase elacestrant exposure and may worsen its adverse effects such as nausea, dyslipidemia and musculoskeletal pain. Labeling advises avoiding concomitant use with strong or moderate CYP3A4 inhibitors.
O que esta interação significa em palavras simples
Clarithromycin and Elacestrant 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; Elacestrant belongs to Oncology.
Por que acontece
Clarithromycin inhibits CYP3A4, the main metabolic pathway of elacestrant.
O que fazer
Avoid the combination and use an antibiotic that does not inhibit CYP3A4, such as azithromycin. If clarithromycin is unavoidable, monitor for elacestrant toxicity.
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 Clarithromycin
- Astemizole + Clarithromycin Contraindicada
- Avanafil + Clarithromycin Contraindicada
- Cisapride + Clarithromycin Contraindicada
- Clarithromycin + Colchicine Contraindicada
- Clarithromycin + Conivaptan Contraindicada
- Clarithromycin + Dihydroergotamine Contraindicada
Outras interações de Elacestrant
Perguntas frequentes
Can I take Clarithromycin with Elacestrant?
MediHelp rates the interaction as major. Clarithromycin and Elacestrant 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. Strong CYP3A4 inhibitors increase elacestrant exposure and may worsen its adverse effects such as nausea, dyslipidemia and musculoskeletal pain. Labeling advises avoiding concomitant use with strong or moderate CYP3A4 inhibitors.
How serious is the interaction between Clarithromycin and Elacestrant?
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 an antibiotic that does not inhibit CYP3A4, such as azithromycin. If clarithromycin is unavoidable, monitor for elacestrant toxicity.
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.
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