藥物交互作用
Avapritinib + Netupitant-palonosetron
嚴重程度: 嚴重
Avapritinib and Netupitant-palonosetron: major interaction.
最後更新
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摘要
Netupitant is a moderate CYP3A4 inhibitor and can increase avapritinib concentrations. This raises the risk of avapritinib toxicity such as cognitive effects, intracranial hemorrhage and edema.
用白話說明這項交互作用的意義
Avapritinib and Netupitant-palonosetron 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.
Avapritinib belongs to Oncology; Netupitant-palonosetron belongs to Gastrointestinal Tract.
為什麼會發生
Inhibition of CYP3A4-mediated avapritinib metabolism by netupitant.
處置方式
Avoid the combination; use an antiemetic regimen without CYP3A4 inhibition. If unavoidable, follow avapritinib labeling for dose reduction with CYP3A inhibitors and monitor for adverse effects.
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?
Netupitant-palonosetron 的其他交互作用
Avapritinib 的其他交互作用
常見問題
Can I take Avapritinib with Netupitant-palonosetron?
MediHelp rates the interaction as major. Avapritinib and Netupitant-palonosetron 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. Netupitant is a moderate CYP3A4 inhibitor and can increase avapritinib concentrations. This raises the risk of avapritinib toxicity such as cognitive effects, intracranial hemorrhage and edema.
How serious is the interaction between Avapritinib and Netupitant-palonosetron?
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; use an antiemetic regimen without CYP3A4 inhibition. If unavoidable, follow avapritinib labeling for dose reduction with CYP3A inhibitors and monitor for adverse effects.
What other medicines interact with Netupitant-palonosetron?
MediHelp also lists interactions of Netupitant-palonosetron with, for example, Apomorphine, Flibanserin, Apalutamide. The full list is on the Netupitant-palonosetron 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。