藥物交互作用
Brentuximab vedotin + Isoniazid
嚴重程度: 中度
Brentuximab vedotin and Isoniazid: moderate interaction.
最後更新
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摘要
The cytotoxic component of brentuximab vedotin, MMAE, is metabolized by CYP3A4, so CYP3A4 inhibitors can raise its exposure and the risk of neutropenia. Isoniazid is only a weak inhibitor, so any effect is likely modest. Isoniazid also adds neuropathy and hepatotoxicity risk.
用白話說明這項交互作用的意義
Brentuximab vedotin and Isoniazid 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; Isoniazid belongs to Anti Bacterial.
為什麼會發生
Possible weak CYP3A4 inhibition by isoniazid increasing MMAE exposure, with additive neurotoxicity.
處置方式
Monitor blood counts for neutropenia and for peripheral neuropathy. Give pyridoxine as per isoniazid practice.
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?
Isoniazid 的其他交互作用
Brentuximab vedotin 的其他交互作用
常見問題
Can I take Brentuximab vedotin with Isoniazid?
MediHelp rates the interaction as moderate. Brentuximab vedotin and Isoniazid 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. The cytotoxic component of brentuximab vedotin, MMAE, is metabolized by CYP3A4, so CYP3A4 inhibitors can raise its exposure and the risk of neutropenia. Isoniazid is only a weak inhibitor, so any effect is likely modest. Isoniazid also adds neuropathy and hepatotoxicity risk.
How serious is the interaction between Brentuximab vedotin and Isoniazid?
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 blood counts for neutropenia and for peripheral neuropathy. Give pyridoxine as per isoniazid practice.
What other medicines interact with Isoniazid?
MediHelp also lists interactions of Isoniazid with, for example, Bacillus calmette-guerin substrain tice, Benzhydrocodone / acetaminophen, Carbamazepine. The full list is on the Isoniazid page.
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