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Brentuximab vedotin + Clarithromycin

嚴重程度: 中度

Brentuximab vedotin and Clarithromycin: moderate 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

Strong CYP3A4 inhibition by clarithromycin can increase exposure to free MMAE, the cytotoxic component released from brentuximab vedotin. This may increase the risk of neutropenia and other toxicities.

用白話說明這項交互作用的意義

Brentuximab vedotin and Clarithromycin 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.

Brentuximab vedotin belongs to Oncology; Clarithromycin belongs to Anti Bacterial.

證據等級: Moderate

為什麼會發生

Clarithromycin inhibits CYP3A4, the main enzyme metabolizing MMAE released from the antibody-drug conjugate.

處置方式

Monitor closely for neutropenia and other adverse reactions. Consider an alternative antibiotic that does not inhibit CYP3A4.

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.

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 Brentuximab vedotin 與 Clarithromycin 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 Brentuximab vedotin with Clarithromycin?

MediHelp rates the interaction as moderate. Brentuximab vedotin and Clarithromycin 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. Strong CYP3A4 inhibition by clarithromycin can increase exposure to free MMAE, the cytotoxic component released from brentuximab vedotin. This may increase the risk of neutropenia and other toxicities.

How serious is the interaction between Brentuximab vedotin and Clarithromycin?

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 closely for neutropenia and other adverse reactions. Consider an alternative antibiotic that does not inhibit CYP3A4.

What other medicines interact with Clarithromycin?

MediHelp also lists interactions of Clarithromycin with, for example, Astemizole, Avanafil, Cisapride. The full list is on the Clarithromycin page.

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