Interações medicamentosas
Fingolimod + Siponimod
Gravidade: Contraindicada
Fingolimod and Siponimod: contraindicated interaction.
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Resumo
Both drugs are S1P receptor modulators that reduce heart rate and lymphocyte counts. Concurrent use gives duplicated pharmacology with additive bradycardia, conduction effects and immunosuppression.
O que esta interação significa em palavras simples
Fingolimod and Siponimod are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Fingolimod belongs to Central Nervous System; Siponimod belongs to Central Nervous System.
Por que acontece
Duplicate S1P receptor modulation with additive negative chronotropic and immunosuppressive effects.
O que fazer
Do not use together; allow an adequate washout when switching, with lymphocyte recovery and cardiac monitoring as indicated.
O que perguntar ao farmacêutico
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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Outras interações de Fingolimod
- Adenovirus types 4 and 7 live + Fingolimod Contraindicada
- Bcg vaccine live + Fingolimod Contraindicada
- Fingolimod + Pimozide Contraindicada
- Fingolimod + Ponesimod Contraindicada
- Fingolimod + Quinidine Contraindicada
- Fingolimod + Sotalol Contraindicada
Outras interações de Siponimod
- Cladribine + Siponimod Contraindicada
- Fluconazole + Siponimod Contraindicada
- Influenza virus vaccine quadrivalent intranasal + Siponimod Contraindicada
- Ponesimod + Siponimod Contraindicada
- Siponimod + Thioridazine Contraindicada
- Adenovirus types 4 and 7 live + Siponimod Grave
Perguntas frequentes
Can I take Fingolimod with Siponimod?
MediHelp rates the interaction as contraindicated. Fingolimod and Siponimod are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Both drugs are S1P receptor modulators that reduce heart rate and lymphocyte counts. Concurrent use gives duplicated pharmacology with additive bradycardia, conduction effects and immunosuppression.
How serious is the interaction between Fingolimod and Siponimod?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use together; allow an adequate washout when switching, with lymphocyte recovery and cardiac monitoring as indicated.
What other medicines interact with Fingolimod?
MediHelp also lists interactions of Fingolimod with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Pimozide. The full list is on the Fingolimod page.
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