藥物交互作用
Bosentan + Bosutinib
嚴重程度: 嚴重
Bosentan and Bosutinib: major interaction.
最後更新
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摘要
Bosentan may lower bosutinib exposure through CYP3A4 induction, risking loss of efficacy in CML. Bosutinib labeling advises avoiding moderate and strong CYP3A inducers.
用白話說明這項交互作用的意義
Bosentan and Bosutinib 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.
Bosentan belongs to Miscellaneous; Bosutinib belongs to Oncology.
為什麼會發生
CYP3A4 induction by bosentan increases bosutinib clearance.
處置方式
Avoid concomitant use and select an alternative to bosentan if possible. If unavoidable, monitor hematologic and molecular response closely.
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?
Bosentan 的其他交互作用
Bosutinib 的其他交互作用
常見問題
Can I take Bosentan with Bosutinib?
MediHelp rates the interaction as major. Bosentan and Bosutinib 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. Bosentan may lower bosutinib exposure through CYP3A4 induction, risking loss of efficacy in CML. Bosutinib labeling advises avoiding moderate and strong CYP3A inducers.
How serious is the interaction between Bosentan and Bosutinib?
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 and select an alternative to bosentan if possible. If unavoidable, monitor hematologic and molecular response closely.
What other medicines interact with Bosentan?
MediHelp also lists interactions of Bosentan with, for example, Cyclosporin, Cyclosporine, Glyburide. The full list is on the Bosentan 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。