Interações medicamentosas
Modafinil + Thalidomide
Gravidade: Grave
Modafinil and Thalidomide: 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
Modafinil weakly induces CYP3A4 and may reduce hormonal contraceptive exposure. This is important with thalidomide because pregnancy must be rigorously prevented due to severe teratogenicity.
O que esta interação significa em palavras simples
Modafinil and Thalidomide 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.
Modafinil belongs to Central Nervous System; Thalidomide belongs to Miscellaneous.
Por que acontece
Modafinil induces CYP3A4, increasing contraceptive hormone clearance.
O que fazer
Avoid relying on hormonal contraception alone; add a barrier method or use a non-hormonal highly effective method during and for a month after modafinil.
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 Thalidomide
Outras interações de Modafinil
Perguntas frequentes
Can I take Modafinil with Thalidomide?
MediHelp rates the interaction as major. Modafinil and Thalidomide 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. Modafinil weakly induces CYP3A4 and may reduce hormonal contraceptive exposure. This is important with thalidomide because pregnancy must be rigorously prevented due to severe teratogenicity.
How serious is the interaction between Modafinil and Thalidomide?
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 relying on hormonal contraception alone; add a barrier method or use a non-hormonal highly effective method during and for a month after modafinil.
What other medicines interact with Thalidomide?
MediHelp also lists interactions of Thalidomide with, for example, Bortezomib, Carbamazepine, Griseofulvin. The full list is on the Thalidomide page.
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