Interações medicamentosas
Ketoconazole + Liposomal doxorubicin
Gravidade: Grave
Ketoconazole and Liposomal doxorubicin: major interaction.
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Resumo
Ketoconazole strongly inhibits CYP3A4 and P-glycoprotein and may increase doxorubicin exposure and toxicity. Greater myelosuppression and mucositis are possible.
O que esta interação significa em palavras simples
Ketoconazole and Liposomal doxorubicin 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.
Ketoconazole belongs to Anti Fungals; Liposomal doxorubicin belongs to Oncology.
Por que acontece
Inhibition of CYP3A4 and P-glycoprotein by ketoconazole, reducing doxorubicin clearance.
O que fazer
Avoid if possible and choose a different antifungal. If unavoidable, monitor blood counts and cardiac status closely and consider reducing the doxorubicin dose.
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 Liposomal doxorubicin
- Dengue vaccine + Liposomal doxorubicin Contraindicada
- Belatacept + Liposomal doxorubicin Grave
- Cyclosporine + Liposomal doxorubicin Grave
- Dronedarone + Liposomal doxorubicin Grave
- Elvitegravir / cobicistat / emtricitabine / tenofovir df + Liposomal doxorubicin Grave
- Fingolimod + Liposomal doxorubicin Grave
Outras interações de Ketoconazole
- Alfuzosin + Ketoconazole Contraindicada
- Alprazolam + Ketoconazole Contraindicada
- Avanafil + Ketoconazole Contraindicada
- Conivaptan + Ketoconazole Contraindicada
- Dihydroergotamine intranasal + Ketoconazole Contraindicada
- Dihydroergotamine + Ketoconazole Contraindicada
Perguntas frequentes
Can I take Ketoconazole with Liposomal doxorubicin?
MediHelp rates the interaction as major. Ketoconazole and Liposomal doxorubicin 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. Ketoconazole strongly inhibits CYP3A4 and P-glycoprotein and may increase doxorubicin exposure and toxicity. Greater myelosuppression and mucositis are possible.
How serious is the interaction between Ketoconazole and Liposomal doxorubicin?
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 and choose a different antifungal. If unavoidable, monitor blood counts and cardiac status closely and consider reducing the doxorubicin dose.
What other medicines interact with Liposomal doxorubicin?
MediHelp also lists interactions of Liposomal doxorubicin with, for example, Dengue vaccine, Belatacept, Cyclosporine. The full list is on the Liposomal doxorubicin page.
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