藥物交互作用
Cobicistat + Doxorubicin
嚴重程度: 嚴重
Cobicistat and Doxorubicin: major interaction.
最後更新
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摘要
Cobicistat is a potent CYP3A inhibitor and also inhibits P-glycoprotein, so it may substantially increase doxorubicin concentrations. This can intensify myelosuppression, mucositis and cardiotoxicity.
用白話說明這項交互作用的意義
Cobicistat and Doxorubicin 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.
Cobicistat belongs to Miscellaneous; Doxorubicin belongs to Oncology.
為什麼會發生
Cobicistat inhibits CYP3A4 and P-gp, decreasing doxorubicin metabolism and efflux.
處置方式
Avoid if possible by using a non-boosted antiretroviral regimen during chemotherapy. If unavoidable, monitor blood counts and cardiac function closely and consider reducing the doxorubicin dose.
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?
Doxorubicin 的其他交互作用
Cobicistat 的其他交互作用
常見問題
Can I take Cobicistat with Doxorubicin?
MediHelp rates the interaction as major. Cobicistat and Doxorubicin 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. Cobicistat is a potent CYP3A inhibitor and also inhibits P-glycoprotein, so it may substantially increase doxorubicin concentrations. This can intensify myelosuppression, mucositis and cardiotoxicity.
How serious is the interaction between Cobicistat and Doxorubicin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid if possible by using a non-boosted antiretroviral regimen during chemotherapy. If unavoidable, monitor blood counts and cardiac function closely and consider reducing the doxorubicin dose.
What other medicines interact with Doxorubicin?
MediHelp also lists interactions of Doxorubicin with, for example, Adenovirus types 4 and 7 live, Belatacept, Cyclophosphamide. The full list is on the Doxorubicin 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。
