藥物交互作用
Baricitinib + Natalizumab
嚴重程度: 嚴重
Baricitinib and Natalizumab: 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
Natalizumab impairs lymphocyte entry into tissues including the CNS and is linked to progressive multifocal leukoencephalopathy. Baricitinib is a JAK inhibitor that adds broad immunosuppression, increasing the risk of serious and opportunistic infections.
用白話說明這項交互作用的意義
Baricitinib and Natalizumab 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.
Baricitinib belongs to Musculoskeletal; Natalizumab belongs to Gastrointestinal Tract.
為什麼會發生
Additive immunosuppression through integrin blockade and JAK inhibition.
處置方式
Avoid the combination. Choose one agent, and monitor for infection and new neurological symptoms if overlap 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?
Natalizumab 的其他交互作用
Baricitinib 的其他交互作用
常見問題
Can I take Baricitinib with Natalizumab?
MediHelp rates the interaction as major. Baricitinib and Natalizumab 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. Natalizumab impairs lymphocyte entry into tissues including the CNS and is linked to progressive multifocal leukoencephalopathy. Baricitinib is a JAK inhibitor that adds broad immunosuppression, increasing the risk of serious and opportunistic infections.
How serious is the interaction between Baricitinib and Natalizumab?
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. Choose one agent, and monitor for infection and new neurological symptoms if overlap cannot be avoided.
What other medicines interact with Natalizumab?
MediHelp also lists interactions of Natalizumab with, for example, Vedolizumab, Axicabtagene ciloleucel, Belatacept. The full list is on the Natalizumab 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。
