藥物交互作用
Clozapine + Irinotecan
嚴重程度: 禁忌併用
Clozapine and Irinotecan: contraindicated interaction.
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摘要
Clozapine can cause severe neutropenia or agranulocytosis, and irinotecan commonly causes dose-limiting neutropenia. Combined use makes profound myelosuppression and serious infection more likely.
用白話說明這項交互作用的意義
Clozapine and Irinotecan 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.
Clozapine belongs to Central Nervous System; Irinotecan belongs to Oncology.
為什麼會發生
Additive bone marrow suppression
處置方式
Avoid combined use; if irinotecan is essential, stop clozapine or use an alternative and monitor blood counts closely.
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?
Clozapine 的其他交互作用
Irinotecan 的其他交互作用
常見問題
Can I take Clozapine with Irinotecan?
MediHelp rates the interaction as contraindicated. Clozapine and Irinotecan 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. Clozapine can cause severe neutropenia or agranulocytosis, and irinotecan commonly causes dose-limiting neutropenia. Combined use makes profound myelosuppression and serious infection more likely.
How serious is the interaction between Clozapine and Irinotecan?
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 combined use; if irinotecan is essential, stop clozapine or use an alternative and monitor blood counts closely.
What other medicines interact with Clozapine?
MediHelp also lists interactions of Clozapine with, for example, Deferiprone, Pimozide, Thioridazine. The full list is on the Clozapine 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。