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藥物交互作用

Cidofovir + Cisplatin

嚴重程度: 禁忌併用

Cidofovir and Cisplatin: contraindicated 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

Cidofovir causes proximal tubular injury and can lead to acute kidney failure. Cisplatin is markedly nephrotoxic and ototoxic, so combining them compounds the risk of renal damage.

用白話說明這項交互作用的意義

Cidofovir and Cisplatin are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Cidofovir belongs to Anti Virals; Cisplatin belongs to Oncology.

證據等級: High

為什麼會發生

Additive nephrotoxicity (cidofovir proximal tubule uptake via OAT1 plus partner renal toxicity)

處置方式

Avoid concurrent use or stop the other nephrotoxin at least 7 days before cidofovir where feasible; if unavoidable give probenecid and saline pre-hydration per the cidofovir protocol and monitor creatinine and urine protein before each dose.

可向藥師詢問的問題

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Cidofovir 與 Cisplatin 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Cidofovir with Cisplatin?

MediHelp rates the interaction as contraindicated. Cidofovir and Cisplatin are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Cidofovir causes proximal tubular injury and can lead to acute kidney failure. Cisplatin is markedly nephrotoxic and ototoxic, so combining them compounds the risk of renal damage.

How serious is the interaction between Cidofovir and Cisplatin?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use or stop the other nephrotoxin at least 7 days before cidofovir where feasible; if unavoidable give probenecid and saline pre-hydration per the cidofovir protocol and monitor creatinine and urine protein before each dose.

What other medicines interact with Cidofovir?

MediHelp also lists interactions of Cidofovir with, for example, Amikacin, Amphotericin b deoxycholate, Amphotericin b. The full list is on the Cidofovir page.

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