藥物交互作用
Apalutamide + Lurasidone
嚴重程度: 禁忌併用
Apalutamide and Lurasidone: contraindicated interaction.
最後更新
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摘要
Apalutamide strongly induces CYP3A4 and markedly lowers lurasidone exposure, which can lead to loss of antipsychotic efficacy and relapse. Lurasidone labeling advises against use with strong CYP3A4 inducers.
用白話說明這項交互作用的意義
Apalutamide and Lurasidone are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Apalutamide belongs to Endocrine; Lurasidone belongs to Central Nervous System.
為什麼會發生
Induction of CYP3A4 by apalutamide increases first-pass and systemic metabolism of lurasidone.
處置方式
Do not combine; choose an antipsychotic that is not CYP3A4-dependent or an alternative antiandrogen. Induction persists for weeks after apalutamide is stopped.
可向藥師詢問的問題
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
Lurasidone 的其他交互作用
Apalutamide 的其他交互作用
常見問題
Can I take Apalutamide with Lurasidone?
MediHelp rates the interaction as contraindicated. Apalutamide and Lurasidone are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Apalutamide strongly induces CYP3A4 and markedly lowers lurasidone exposure, which can lead to loss of antipsychotic efficacy and relapse. Lurasidone labeling advises against use with strong CYP3A4 inducers.
How serious is the interaction between Apalutamide and Lurasidone?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not combine; choose an antipsychotic that is not CYP3A4-dependent or an alternative antiandrogen. Induction persists for weeks after apalutamide is stopped.
What other medicines interact with Lurasidone?
MediHelp also lists interactions of Lurasidone with, for example, Atazanavir, Carbamazepine, Clarithromycin. The full list is on the Lurasidone page.
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