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藥物交互作用

Apalutamide + Brentuximab vedotin

嚴重程度: 中度

Apalutamide and Brentuximab vedotin: moderate interaction.

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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。

摘要

The MMAE payload of brentuximab vedotin is a CYP3A4 substrate, and apalutamide induces CYP3A4. Free MMAE exposure may decline, though the clinical impact is not well characterized.

用白話說明這項交互作用的意義

Apalutamide and Brentuximab vedotin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Apalutamide belongs to Endocrine; Brentuximab vedotin belongs to Oncology.

證據等級: Low

為什麼會發生

Apalutamide induces CYP3A4, which may increase metabolism of released MMAE.

處置方式

Monitor for reduced treatment response. Consider an alternative to apalutamide if feasible.

可向藥師詢問的問題

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Apalutamide with Brentuximab vedotin?

MediHelp rates the interaction as moderate. Apalutamide and Brentuximab vedotin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. The MMAE payload of brentuximab vedotin is a CYP3A4 substrate, and apalutamide induces CYP3A4. Free MMAE exposure may decline, though the clinical impact is not well characterized.

How serious is the interaction between Apalutamide and Brentuximab vedotin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for reduced treatment response. Consider an alternative to apalutamide if feasible.

What other medicines interact with Apalutamide?

MediHelp also lists interactions of Apalutamide with, for example, Cabotegravir, Cobicistat, Doravirine. The full list is on the Apalutamide page.

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