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藥物交互作用

Azathioprine + Mesalamine

嚴重程度: 中度

Azathioprine and Mesalamine: moderate 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

Mesalamine may inhibit thiopurine methyltransferase, raising active thioguanine nucleotide levels. This can increase the risk of leukopenia and other myelosuppression.

用白話說明這項交互作用的意義

Azathioprine and Mesalamine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Azathioprine belongs to Gastrointestinal Tract; Mesalamine belongs to Gastrointestinal Tract.

證據等級: Moderate

為什麼會發生

Inhibition of TPMT by mesalamine increases thiopurine metabolite exposure.

處置方式

Monitor complete blood counts regularly and reduce azathioprine dose if leukopenia develops.

可向藥師詢問的問題

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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建立帳號並開始 Pro+ 試用,即可解鎖 Azathioprine 與 Mesalamine 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

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  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Azathioprine with Mesalamine?

MediHelp rates the interaction as moderate. Azathioprine and Mesalamine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Mesalamine may inhibit thiopurine methyltransferase, raising active thioguanine nucleotide levels. This can increase the risk of leukopenia and other myelosuppression.

How serious is the interaction between Azathioprine and Mesalamine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor complete blood counts regularly and reduce azathioprine dose if leukopenia develops.

What other medicines interact with Mesalamine?

MediHelp also lists interactions of Mesalamine with, for example, Measles mumps rubella and varicella vaccine live, Varicella virus vaccine live, Aceclofenac. The full list is on the Mesalamine page.

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