藥物交互作用
Anastrozole + Desogestrel-ethinyl estradiol
嚴重程度: 嚴重
Anastrozole and Desogestrel-ethinyl estradiol: major interaction.
最後更新
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摘要
Anastrozole works by lowering estrogen levels, and exogenous estrogen such as ethinyl estradiol opposes this effect. The combination undermines the therapeutic aim in hormone-receptor-positive breast cancer, and anastrozole is not intended for use in premenopausal women who might need contraception.
用白話說明這項交互作用的意義
Anastrozole and Desogestrel-ethinyl estradiol 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.
Anastrozole belongs to Oncology; Desogestrel-ethinyl estradiol belongs to Endocrine.
為什麼會發生
Pharmacodynamic antagonism: exogenous estrogen counteracts aromatase inhibition-induced estrogen suppression.
處置方式
Avoid combined estrogen-containing products in patients taking anastrozole; use a non-hormonal contraceptive if contraception is needed.
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?
Desogestrel-ethinyl estradiol 的其他交互作用
Anastrozole 的其他交互作用
常見問題
Can I take Anastrozole with Desogestrel-ethinyl estradiol?
MediHelp rates the interaction as major. Anastrozole and Desogestrel-ethinyl estradiol 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. Anastrozole works by lowering estrogen levels, and exogenous estrogen such as ethinyl estradiol opposes this effect. The combination undermines the therapeutic aim in hormone-receptor-positive breast cancer, and anastrozole is not intended for use in premenopausal women who might need contraception.
How serious is the interaction between Anastrozole and Desogestrel-ethinyl estradiol?
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 combined estrogen-containing products in patients taking anastrozole; use a non-hormonal contraceptive if contraception is needed.
What other medicines interact with Desogestrel-ethinyl estradiol?
MediHelp also lists interactions of Desogestrel-ethinyl estradiol with, for example, Fezolinetant, Aminocaproic acid, Amobarbital. The full list is on the Desogestrel-ethinyl estradiol page.
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