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Interações medicamentosas

Itraconazole + Pralsetinib

Gravidade: Grave

Itraconazole 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.

O conteúdo clínico desta página está disponível apenas em inglês.

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.

Nível de evidência: Moderate

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?

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 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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