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藥物交互作用

Bendamustine + Cyclophosphamide

嚴重程度: 嚴重

Bendamustine and Cyclophosphamide: major interaction.

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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

Both are alkylating agents that suppress bone marrow function. Combined use increases the risk of neutropenia, thrombocytopenia, anemia and infection.

用白話說明這項交互作用的意義

Bendamustine and Cyclophosphamide 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.

Bendamustine belongs to Oncology; Cyclophosphamide belongs to Oncology.

證據等級: Moderate

為什麼會發生

Additive myelosuppression from two DNA-alkylating cytotoxic agents.

處置方式

Monitor complete blood counts closely and reduce doses or delay cycles as needed. Provide supportive care such as growth factors when indicated.

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?

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

Pro+ 會員專屬

解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Bendamustine 與 Cyclophosphamide 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。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Bendamustine with Cyclophosphamide?

MediHelp rates the interaction as major. Bendamustine and Cyclophosphamide 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. Both are alkylating agents that suppress bone marrow function. Combined use increases the risk of neutropenia, thrombocytopenia, anemia and infection.

How serious is the interaction between Bendamustine and Cyclophosphamide?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor complete blood counts closely and reduce doses or delay cycles as needed. Provide supportive care such as growth factors when indicated.

What other medicines interact with Cyclophosphamide?

MediHelp also lists interactions of Cyclophosphamide with, for example, Adenovirus types 4 and 7 live, Belatacept, Busulfan. The full list is on the Cyclophosphamide page.

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