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藥物交互作用

Caspofungin + Fosphenytoin

嚴重程度: 中度

Caspofungin and Fosphenytoin: 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

Fosphenytoin is converted to phenytoin, an inducer that can lower caspofungin concentrations. The clinical impact is uncertain but could reduce antifungal efficacy in serious infection.

用白話說明這項交互作用的意義

Caspofungin and Fosphenytoin 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.

Caspofungin belongs to Anti Fungals; Fosphenytoin belongs to Central Nervous System.

證據等級: Moderate

為什麼會發生

Phenytoin induces clearance pathways of caspofungin, lowering exposure.

處置方式

Caspofungin labeling suggests considering a daily dose of 70 mg when given with inducers such as phenytoin in patients not responding adequately. Monitor clinical response.

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.

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常見問題

Can I take Caspofungin with Fosphenytoin?

MediHelp rates the interaction as moderate. Caspofungin and Fosphenytoin 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. Fosphenytoin is converted to phenytoin, an inducer that can lower caspofungin concentrations. The clinical impact is uncertain but could reduce antifungal efficacy in serious infection.

How serious is the interaction between Caspofungin and Fosphenytoin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Caspofungin labeling suggests considering a daily dose of 70 mg when given with inducers such as phenytoin in patients not responding adequately. Monitor clinical response.

What other medicines interact with Caspofungin?

MediHelp also lists interactions of Caspofungin with, for example, Apalutamide, Carbamazepine, Cyclosporin. The full list is on the Caspofungin page.

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