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藥物交互作用

Apalutamide + Fluvastatin

嚴重程度: 中度

Apalutamide and Fluvastatin: 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

Apalutamide is a weak CYP2C9 inducer and induces other clearance pathways. It may lower fluvastatin exposure, which is mainly cleared by CYP2C9, and so weaken its lipid-lowering effect.

用白話說明這項交互作用的意義

Apalutamide and Fluvastatin 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; Fluvastatin belongs to Cardiovascular.

證據等級: Moderate

為什麼會發生

Apalutamide induces CYP2C9 and weakly induces transporters, increasing fluvastatin clearance.

處置方式

Monitor the lipid profile after starting or stopping apalutamide. Increase the fluvastatin dose or switch statin if efficacy is lost.

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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建立帳號並開始 Pro+ 試用,即可解鎖 Apalutamide 與 Fluvastatin 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。

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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 Fluvastatin?

MediHelp rates the interaction as moderate. Apalutamide and Fluvastatin 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 is a weak CYP2C9 inducer and induces other clearance pathways. It may lower fluvastatin exposure, which is mainly cleared by CYP2C9, and so weaken its lipid-lowering effect.

How serious is the interaction between Apalutamide and Fluvastatin?

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 the lipid profile after starting or stopping apalutamide. Increase the fluvastatin dose or switch statin if efficacy is lost.

What other medicines interact with Fluvastatin?

MediHelp also lists interactions of Fluvastatin with, for example, Cyclosporine, Cyclosporin, Gemfibrozil. The full list is on the Fluvastatin page.

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