藥物交互作用
Brexucabtagene autoleucel + Cladribine
嚴重程度: 嚴重
Brexucabtagene autoleucel and Cladribine: major interaction.
最後更新
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摘要
Cladribine depletes lymphocytes and may compromise collection, expansion, and activity of CAR-T cells. It also adds to the infection risk from immunosuppression.
用白話說明這項交互作用的意義
Brexucabtagene autoleucel and Cladribine 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.
Brexucabtagene autoleucel belongs to Oncology; Cladribine belongs to Oncology.
為什麼會發生
Lymphotoxic effect of cladribine reduces T-cell numbers and function, affecting CAR-T manufacturing and expansion, and adds to immunosuppression.
處置方式
Avoid cladribine before leukapheresis and CAR-T infusion, observing the washout interval in the product labeling. Monitor for infections if exposure has occurred.
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?
Cladribine 的其他交互作用
Brexucabtagene autoleucel 的其他交互作用
常見問題
Can I take Brexucabtagene autoleucel with Cladribine?
MediHelp rates the interaction as major. Brexucabtagene autoleucel and Cladribine 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. Cladribine depletes lymphocytes and may compromise collection, expansion, and activity of CAR-T cells. It also adds to the infection risk from immunosuppression.
How serious is the interaction between Brexucabtagene autoleucel and Cladribine?
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 cladribine before leukapheresis and CAR-T infusion, observing the washout interval in the product labeling. Monitor for infections if exposure has occurred.
What other medicines interact with Cladribine?
MediHelp also lists interactions of Cladribine with, for example, Adenovirus types 4 and 7 live, Siponimod, Tofacitinib. The full list is on the Cladribine 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。
