藥物交互作用
Apalutamide + Gefitinib
嚴重程度: 嚴重
Apalutamide and Gefitinib: 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
Apalutamide may substantially lower gefitinib plasma concentrations and thereby reduce antitumor efficacy in EGFR-mutated lung cancer.
用白話說明這項交互作用的意義
Apalutamide and Gefitinib 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; Gefitinib belongs to Oncology.
為什麼會發生
Apalutamide induces CYP3A4, the main enzyme metabolizing gefitinib.
處置方式
Avoid the combination if possible; if required, gefitinib labeling suggests increasing to 500 mg daily with strong inducers and monitoring tolerance.
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?
Apalutamide 的其他交互作用
Gefitinib 的其他交互作用
常見問題
Can I take Apalutamide with Gefitinib?
MediHelp rates the interaction as major. Apalutamide and Gefitinib 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 substantially lower gefitinib plasma concentrations and thereby reduce antitumor efficacy in EGFR-mutated lung cancer.
How serious is the interaction between Apalutamide and Gefitinib?
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 required, gefitinib labeling suggests increasing to 500 mg daily with strong inducers and monitoring tolerance.
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.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
在 MediHelp App 中開啟完整參考資料、檢查多種藥物間的交互作用，並使用劑量工具。
