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Interações medicamentosas

Etrasimod + Mitoxantrone

Gravidade: Grave

Etrasimod and Mitoxantrone: 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.

O conteúdo clínico desta página está disponível apenas em inglês.

Resumo

Etrasimod lowers circulating lymphocytes, and mitoxantrone is immunosuppressive and myelosuppressive. Together they may increase the risk of serious infection, and the combination has not been studied.

O que esta interação significa em palavras simples

Etrasimod and Mitoxantrone 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.

Etrasimod belongs to Gastrointestinal Tract; Mitoxantrone belongs to Central Nervous System.

Nível de evidência: Low

Por que acontece

Additive immunosuppression from S1P receptor modulation plus cytotoxic marrow suppression.

O que fazer

Avoid co-administration where possible, and allow washout of etrasimod after stopping. Monitor lymphocyte and neutrophil counts and for infection.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Perguntas frequentes

Can I take Etrasimod with Mitoxantrone?

MediHelp rates the interaction as major. Etrasimod and Mitoxantrone 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. Etrasimod lowers circulating lymphocytes, and mitoxantrone is immunosuppressive and myelosuppressive. Together they may increase the risk of serious infection, and the combination has not been studied.

How serious is the interaction between Etrasimod and Mitoxantrone?

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 co-administration where possible, and allow washout of etrasimod after stopping. Monitor lymphocyte and neutrophil counts and for infection.

What other medicines interact with Mitoxantrone?

MediHelp also lists interactions of Mitoxantrone with, for example, Adenovirus types 4 and 7 live, Axicabtagene ciloleucel, Belatacept. The full list is on the Mitoxantrone page.

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