藥物交互作用
Cabozantinib + Posaconazole
嚴重程度: 嚴重
Cabozantinib and Posaconazole: major interaction.
最後更新
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摘要
Posaconazole can raise cabozantinib exposure because cabozantinib is cleared partly by CYP3A4. Higher levels may increase toxicities such as diarrhea, hypertension, hand-foot syndrome and bleeding.
用白話說明這項交互作用的意義
Cabozantinib and Posaconazole 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.
Cabozantinib belongs to Oncology; Posaconazole belongs to Anti Fungals.
為什麼會發生
Strong CYP3A4 inhibition by posaconazole reduces the metabolic clearance of cabozantinib.
處置方式
Prefer an antifungal or other agent without strong CYP3A4 inhibition. If it cannot be avoided, lower the cabozantinib dose per labeling, monitor for adverse effects, and restore the prior dose a few days after stopping posaconazole.
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?
Posaconazole 的其他交互作用
Cabozantinib 的其他交互作用
常見問題
Can I take Cabozantinib with Posaconazole?
MediHelp rates the interaction as major. Cabozantinib and Posaconazole 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. Posaconazole can raise cabozantinib exposure because cabozantinib is cleared partly by CYP3A4. Higher levels may increase toxicities such as diarrhea, hypertension, hand-foot syndrome and bleeding.
How serious is the interaction between Cabozantinib and Posaconazole?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Prefer an antifungal or other agent without strong CYP3A4 inhibition. If it cannot be avoided, lower the cabozantinib dose per labeling, monitor for adverse effects, and restore the prior dose a few days after stopping posaconazole.
What other medicines interact with Posaconazole?
MediHelp also lists interactions of Posaconazole with, for example, Artemether, Avanafil, Cobimetinib. The full list is on the Posaconazole 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。
