Interações medicamentosas
Itraconazole + Pralsetinib
Gravidade: Grave
Itraconazole and Pralsetinib: major interaction.
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Resumo
Itraconazole raises pralsetinib exposure by inhibiting its metabolism. This may increase risks of pneumonitis, hepatotoxicity, hypertension and hemorrhage.
O que esta interação significa em palavras simples
Itraconazole 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.
Itraconazole belongs to Anti Fungals; Pralsetinib belongs to Oncology.
Por que acontece
Strong CYP3A4 and P-glycoprotein inhibition reduces pralsetinib clearance.
O que fazer
Avoid if possible. If unavoidable, reduce the pralsetinib dose per labeling and monitor liver function and for 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 Itraconazole
- Alfuzosin + Itraconazole Contraindicada
- Alprazolam + Itraconazole Contraindicada
- Avanafil + Itraconazole Contraindicada
- Conivaptan + Itraconazole Contraindicada
- Dihydroergotamine intranasal + Itraconazole Contraindicada
- Dihydroergotamine + Itraconazole Contraindicada
Outras interações de Pralsetinib
Perguntas frequentes
Can I take Itraconazole with Pralsetinib?
MediHelp rates the interaction as major. Itraconazole 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. Itraconazole raises pralsetinib exposure by inhibiting its metabolism. This may increase risks of pneumonitis, hepatotoxicity, hypertension and hemorrhage.
How serious is the interaction between Itraconazole 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: Avoid if possible. If unavoidable, reduce the pralsetinib dose per labeling and monitor liver function and for toxicity.
What other medicines interact with Itraconazole?
MediHelp also lists interactions of Itraconazole with, for example, Alfuzosin, Alprazolam, Avanafil. The full list is on the Itraconazole page.
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