藥物交互作用
Bosutinib + Cyclosporin
嚴重程度: 嚴重
Bosutinib and Cyclosporin: major interaction.
最後更新
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摘要
Cyclosporine inhibits CYP3A4 and P-glycoprotein and may raise bosutinib concentrations, increasing the risk of gastrointestinal toxicity, hepatotoxicity and myelosuppression.
用白話說明這項交互作用的意義
Bosutinib and Cyclosporin 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.
Bosutinib belongs to Oncology; Cyclosporin belongs to Miscellaneous.
為什麼會發生
Inhibition of CYP3A4 metabolism and P-gp efflux of bosutinib.
處置方式
Avoid the combination where possible. If needed, monitor liver tests, blood counts and bosutinib adverse effects, with dose reduction as needed.
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?
Cyclosporin 的其他交互作用
Bosutinib 的其他交互作用
常見問題
Can I take Bosutinib with Cyclosporin?
MediHelp rates the interaction as major. Bosutinib and Cyclosporin 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. Cyclosporine inhibits CYP3A4 and P-glycoprotein and may raise bosutinib concentrations, increasing the risk of gastrointestinal toxicity, hepatotoxicity and myelosuppression.
How serious is the interaction between Bosutinib and Cyclosporin?
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 where possible. If needed, monitor liver tests, blood counts and bosutinib adverse effects, with dose reduction as needed.
What other medicines interact with Cyclosporin?
MediHelp also lists interactions of Cyclosporin with, for example, Adenovirus types 4 and 7 live, Aliskiren, Bcg vaccine live. The full list is on the Cyclosporin 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。