藥物交互作用
Clarithromycin + Selumetinib
嚴重程度: 嚴重
Clarithromycin and Selumetinib: major interaction.
最後更新
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本頁的臨床內容僅提供英文版。
摘要
Clarithromycin may increase selumetinib exposure, which can intensify adverse effects such as gastrointestinal toxicity, rash, cardiomyopathy and ocular toxicity.
用白話說明這項交互作用的意義
Clarithromycin and Selumetinib 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 belongs to Anti Bacterial; Selumetinib belongs to Oncology.
為什麼會發生
Clarithromycin inhibits CYP3A4, reducing selumetinib metabolism.
處置方式
Prefer a non-CYP3A4-inhibiting antibiotic. If necessary, reduce the selumetinib dose as per labeling and resume the prior dose after about 3 half-lives of clarithromycin.
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
Selumetinib 的其他交互作用
常見問題
Can I take Clarithromycin with Selumetinib?
MediHelp rates the interaction as major. Clarithromycin and Selumetinib 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 may increase selumetinib exposure, which can intensify adverse effects such as gastrointestinal toxicity, rash, cardiomyopathy and ocular toxicity.
How serious is the interaction between Clarithromycin and Selumetinib?
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 a non-CYP3A4-inhibiting antibiotic. If necessary, reduce the selumetinib dose as per labeling and resume the prior dose after about 3 half-lives of clarithromycin.
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。
