藥物交互作用
Apalutamide + Pretomanid
嚴重程度: 嚴重
Apalutamide and Pretomanid: 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 markedly reduce pretomanid concentrations through enzyme induction. Reduced exposure may compromise the efficacy of antituberculosis regimens and risk treatment failure or resistance.
用白話說明這項交互作用的意義
Apalutamide and Pretomanid 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; Pretomanid belongs to Anti Bacterial.
為什麼會發生
Apalutamide induces CYP3A4, increasing the oxidative metabolism of pretomanid.
處置方式
Avoid concurrent use; choose an alternative to apalutamide where feasible. Monitor treatment response closely if the combination cannot be avoided.
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
Pretomanid 的其他交互作用
常見問題
Can I take Apalutamide with Pretomanid?
MediHelp rates the interaction as major. Apalutamide and Pretomanid 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 markedly reduce pretomanid concentrations through enzyme induction. Reduced exposure may compromise the efficacy of antituberculosis regimens and risk treatment failure or resistance.
How serious is the interaction between Apalutamide and Pretomanid?
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 concurrent use; choose an alternative to apalutamide where feasible. Monitor treatment response closely if the combination cannot be avoided.
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。