Interações medicamentosas
Etodolac + Pemetrexed
Gravidade: Grave
Etodolac and Pemetrexed: major interaction.
Última atualização Fontes: Base de donnees publique des medicaments (France)
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
NSAIDs can raise pemetrexed exposure in patients with reduced kidney function, increasing the risk of myelosuppression, mucositis and renal and gastrointestinal toxicity. The risk is greatest in patients with mild to moderate renal impairment.
O que esta interação significa em palavras simples
Etodolac and Pemetrexed 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.
Etodolac belongs to Musculoskeletal; Pemetrexed belongs to Oncology.
Por que acontece
NSAID-related reduction in renal function and competition for tubular secretion decrease pemetrexed clearance.
O que fazer
Avoid etodolac around pemetrexed dosing where possible and use an alternative analgesic. If it is needed, monitor blood counts and renal function and follow labeled NSAID interruption windows based on half-life.
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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Referências
Outras interações de Etodolac
- Etodolac + Ketorolac Contraindicada
- Etodolac + Ketorolac intranasal Contraindicada
- Aceclofenac + Etodolac Grave
- Acemetacin + Etodolac Grave
- Acetylsalicylic acid + Etodolac Grave
- Alteplase + Etodolac Grave
Outras interações de Pemetrexed
Perguntas frequentes
Can I take Etodolac with Pemetrexed?
MediHelp rates the interaction as major. Etodolac and Pemetrexed 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. NSAIDs can raise pemetrexed exposure in patients with reduced kidney function, increasing the risk of myelosuppression, mucositis and renal and gastrointestinal toxicity. The risk is greatest in patients with mild to moderate renal impairment.
How serious is the interaction between Etodolac and Pemetrexed?
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 etodolac around pemetrexed dosing where possible and use an alternative analgesic. If it is needed, monitor blood counts and renal function and follow labeled NSAID interruption windows based on half-life.
What other medicines interact with Etodolac?
MediHelp also lists interactions of Etodolac with, for example, Ketorolac, Ketorolac intranasal, Aceclofenac. The full list is on the Etodolac page.
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