藥品參考
Ponesimod
Ponesimod is a medicine in the class central nervous system. It is used for multiple sclerosis.
- 藥物類別: Central Nervous System
- 用途: multiple sclerosis
最後更新
僅供醫療專業人員參考。本頁為簡要摘要，並非醫療建議，亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。
本頁的臨床內容僅提供英文版。
重點資訊
- 藥物類別
- Central Nervous System
- ATC 代碼
- L04AE04
- 常見劑型
- 錠劑
- 常見規格
- 20 mg, 2 mg, 10 mg
- 已知交互作用
- 127 (禁忌併用: 2 · 嚴重: 46 · 中度: 71 · 輕微: 8)
- 商品名
- 5
- 國家與市場
- 4
用途
作用方式
Sphingosine 1-phosphate (S1P) receptor 1 modulator that binds with high affinity to S1P receptor 1
成人常用劑量（仿單摘要）
Multiple Sclerosis (Initiation) Starter pack must be used for initiating treatment: 2 mg PO qDay initially; increase dose as per dose titration regimen (14-day titration)
懷孕與哺乳
- 懷孕
- Unsafe EU label: contraindicated in pregnancy. In rats and rabbits it caused fetal death and malformations at clinical exposures without maternal toxicity (S1P receptor role in embryo development); another S1P modulator raised birth-defect risk in humans. Use contraception; stop 1 week before conceiving.
- 哺乳
- Unsafe No human milk data; rat offspring were exposed via milk. US label: weigh benefits; EU label: risk cannot be excluded, should not be used while breastfeeding. LactMed: long half-life and possible infant toxicity; experts advise avoiding the related fingolimod.
已通報的副作用
- Somnolence
- Elevated hepatic transaminases
- Hypertension
- Urinary tract infection
- Dyspnea
- Dizziness
禁忌症
- Presence of Mobitz type II second-degree, third-degree AV block, or sick sinus syndrome, unless patient has functioning pacemaker
- In the past 6 months, experienced myocardial infarction, unstable angina, stroke, TIA, decompensated heart failure (HF) requiring hospitalization, or Class III/IV HF
哪些人需要特別留意
- Consider possibility of severe exacerbation of disease after discontinuing therapy; monitor for severe increase in disability upon discontinuation and appropriately treat; after stopping therapy in the setting of PML, monitor for development of immune reconstitution inflammatory syndrome (PML-IRIS)
- Elevated transaminases may occur; if symptoms (eg, unexplained nausea, vomiting, abdominal pain, fatigue, anorexia, rash with eosinophilia, jaundice, dark urine) occur during therapy, check hepatic enzymes; if significant liver injury confirmed, discontinue therapy
請告知藥師或醫師您是否懷孕或哺乳、是否患有腎臟或肝臟疾病、是否有過敏，以及您正在使用的所有其他藥物或保健品。
重要交互作用 (127)
- Fingolimod + Ponesimod Contraindicated
- Ponesimod + Siponimod Contraindicated
- Amiodarone + Ponesimod Major
- Amisulpride + Ponesimod Major
- Anagrelide + Ponesimod Major
- Anti-thymocyte + Ponesimod Major
- Asenapine + Ponesimod Major
- Atenolol + Ponesimod Major
- Atenolol-chlorthalidone + Ponesimod Major
- Betaxolol + Ponesimod Major
Pro+ 會員專屬
解鎖完整頁面
建立帳號並開始 Pro+ 試用，即可開啟 Ponesimod 的完整藥品專論：劑量、懷孕與哺乳、副作用、警示及所有交互作用。
- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- Paediatric dosing
- How to give it
- Pharmacokinetics
- Patient counselling points
- Food interactions
在網頁版免費試用 Pro+ 14 天，無需信用卡。
同類別的其他藥品
常見問題
What is Ponesimod used for?
Ponesimod is a medicine in the class central nervous system. It is used for Multiple sclerosis.
What side effects have been reported with Ponesimod?
Somnolence, Elevated hepatic transaminases, Hypertension, Urinary tract infection, Dyspnea, Dizziness.
Can Ponesimod be taken in pregnancy or while breastfeeding?
Pregnancy: Unsafe. EU label: contraindicated in pregnancy. In rats and rabbits it caused fetal death and malformations at clinical exposures without maternal toxicity (S1P receptor role in embryo development); another S1P modulator raised birth-defect risk in humans. Use contraception; stop 1 week before conceiving. Breastfeeding: Unsafe. No human milk data; rat offspring were exposed via milk. US label: weigh benefits; EU label: risk cannot be excluded, should not be used while breastfeeding. LactMed: long half-life and possible infant toxicity; experts advise avoiding the related fingolimod.
What does Ponesimod interact with?
MediHelp lists 127 known interactions for Ponesimod. Contraindicated: 2 · Major: 46 · Moderate: 71 · Minor: 8. The most serious include Fingolimod, Siponimod, Amiodarone.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
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