Interações medicamentosas
Clarithromycin + Pralsetinib
Gravidade: Grave
Clarithromycin 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
Clarithromycin can increase pralsetinib exposure, which may increase adverse effects such as hepatotoxicity, hypertension, pneumonitis, hemorrhage and myelosuppression.
O que esta interação significa em palavras simples
Clarithromycin 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.
Clarithromycin belongs to Anti Bacterial; Pralsetinib belongs to Oncology.
Por que acontece
Clarithromycin inhibits CYP3A4, reducing pralsetinib metabolism.
O que fazer
Prefer an alternative antibiotic. If a combined strong CYP3A4 inhibitor is required, reduce the pralsetinib dose per labeling and monitor liver tests and blood pressure.
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 Pralsetinib
Perguntas frequentes
Can I take Clarithromycin with Pralsetinib?
MediHelp rates the interaction as major. Clarithromycin 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. Clarithromycin can increase pralsetinib exposure, which may increase adverse effects such as hepatotoxicity, hypertension, pneumonitis, hemorrhage and myelosuppression.
How serious is the interaction between Clarithromycin 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: Prefer an alternative antibiotic. If a combined strong CYP3A4 inhibitor is required, reduce the pralsetinib dose per labeling and monitor liver tests and blood pressure.
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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