藥物交互作用
Axitinib + Rifabutin
嚴重程度: 嚴重
Axitinib and Rifabutin: major interaction.
最後更新
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
Rifabutin induces CYP3A4 and may substantially lower axitinib concentrations, reducing efficacy. The effect is expected to be less than with rifampicin but is still clinically relevant.
用白話說明這項交互作用的意義
Axitinib and Rifabutin 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.
Axitinib belongs to Oncology; Rifabutin belongs to Anti Bacterial.
為什麼會發生
Rifabutin induces CYP3A4 and CYP1A1 pathways, increasing axitinib clearance.
處置方式
Avoid concomitant use where possible and select an agent with no enzyme-inducing potential. If it is unavoidable, monitor response and consider a gradual axitinib dose increase.
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?
Axitinib 的其他交互作用
Rifabutin 的其他交互作用
常見問題
Can I take Axitinib with Rifabutin?
MediHelp rates the interaction as major. Axitinib and Rifabutin 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. Rifabutin induces CYP3A4 and may substantially lower axitinib concentrations, reducing efficacy. The effect is expected to be less than with rifampicin but is still clinically relevant.
How serious is the interaction between Axitinib and Rifabutin?
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 concomitant use where possible and select an agent with no enzyme-inducing potential. If it is unavoidable, monitor response and consider a gradual axitinib dose increase.
What other medicines interact with Axitinib?
MediHelp also lists interactions of Axitinib with, for example, Amobarbital, Apalutamide, Atazanavir. The full list is on the Axitinib 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。