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藥物交互作用

Apalutamide + Etravirine

嚴重程度: 嚴重

Apalutamide and Etravirine: major interaction.

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。

摘要

Apalutamide may lower etravirine concentrations and reduce its antiviral activity, raising the risk of virologic failure and resistance.

用白話說明這項交互作用的意義

Apalutamide and Etravirine 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.

Apalutamide belongs to Endocrine; Etravirine belongs to Anti Virals.

證據等級: Moderate

為什麼會發生

Apalutamide induces CYP3A4 and CYP2C19, which metabolize etravirine.

處置方式

Avoid the combination where possible and use an alternative antiretroviral or antiandrogen. If coadministered, monitor HIV RNA closely.

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?

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

Pro+ 會員專屬

解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Apalutamide 與 Etravirine 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Apalutamide with Etravirine?

MediHelp rates the interaction as major. Apalutamide and Etravirine 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. Apalutamide may lower etravirine concentrations and reduce its antiviral activity, raising the risk of virologic failure and resistance.

How serious is the interaction between Apalutamide and Etravirine?

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 where possible and use an alternative antiretroviral or antiandrogen. If coadministered, monitor HIV RNA closely.

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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