藥物交互作用
Anagrelide + Givinostat
嚴重程度: 嚴重
Anagrelide and Givinostat: major interaction.
最後更新
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本頁的臨床內容僅提供英文版。
摘要
Givinostat can prolong the QTc interval, and anagrelide has a similar effect, so together they may increase the risk of ventricular arrhythmia. The risk is higher with electrolyte abnormalities or existing cardiac conditions.
用白話說明這項交互作用的意義
Anagrelide and Givinostat 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.
Anagrelide belongs to Cardiovascular; Givinostat belongs to Miscellaneous.
為什麼會發生
Additive pharmacodynamic prolongation of the QT interval.
處置方式
Avoid the combination if possible. If used together, obtain ECGs at initiation and during treatment, and withhold givinostat if QTc exceeds 500 ms or rises substantially from baseline.
可向藥師詢問的問題
- 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?
Anagrelide 的其他交互作用
Givinostat 的其他交互作用
常見問題
Can I take Anagrelide with Givinostat?
MediHelp rates the interaction as major. Anagrelide and Givinostat 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. Givinostat can prolong the QTc interval, and anagrelide has a similar effect, so together they may increase the risk of ventricular arrhythmia. The risk is higher with electrolyte abnormalities or existing cardiac conditions.
How serious is the interaction between Anagrelide and Givinostat?
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 the combination if possible. If used together, obtain ECGs at initiation and during treatment, and withhold givinostat if QTc exceeds 500 ms or rises substantially from baseline.
What other medicines interact with Anagrelide?
MediHelp also lists interactions of Anagrelide with, for example, Panobinostat, Pimozide, Thioridazine. The full list is on the Anagrelide page.
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