藥物交互作用
Cabazitaxel + Clarithromycin
嚴重程度: 嚴重
Cabazitaxel and Clarithromycin: major interaction.
最後更新
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摘要
Clarithromycin is a strong CYP3A4 inhibitor and can raise cabazitaxel exposure. Higher levels increase the risk of neutropenia, diarrhea and other dose-related toxicity.
用白話說明這項交互作用的意義
Cabazitaxel and Clarithromycin 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.
Cabazitaxel belongs to Oncology; Clarithromycin belongs to Anti Bacterial.
為什麼會發生
Inhibition of CYP3A4-mediated metabolism of cabazitaxel by clarithromycin.
處置方式
Avoid the combination and use a non-interacting antibiotic such as azithromycin if feasible. If it cannot be avoided, consider reducing the cabazitaxel dose and monitor blood counts 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?
Clarithromycin 的其他交互作用
Cabazitaxel 的其他交互作用
常見問題
Can I take Cabazitaxel with Clarithromycin?
MediHelp rates the interaction as major. Cabazitaxel and Clarithromycin 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. Clarithromycin is a strong CYP3A4 inhibitor and can raise cabazitaxel exposure. Higher levels increase the risk of neutropenia, diarrhea and other dose-related toxicity.
How serious is the interaction between Cabazitaxel and Clarithromycin?
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 and use a non-interacting antibiotic such as azithromycin if feasible. If it cannot be avoided, consider reducing the cabazitaxel dose and monitor blood counts closely.
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.
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。
