藥物交互作用
Cyclosporin + Selumetinib
嚴重程度: 嚴重
Cyclosporin and Selumetinib: major interaction.
最後更新
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摘要
Cyclosporine is a CYP3A4 inhibitor and can increase selumetinib concentrations. This raises the risk of selumetinib toxicities such as gastrointestinal effects, rash, and cardiomyopathy.
用白話說明這項交互作用的意義
Cyclosporin 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.
Cyclosporin belongs to Miscellaneous; Selumetinib belongs to Oncology.
為什麼會發生
Inhibition of CYP3A4-mediated metabolism of selumetinib.
處置方式
Avoid if possible; otherwise reduce the selumetinib dose per its labeling and monitor for adverse effects. Restore the original dose about three half-lives after stopping the inhibitor.
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?
Cyclosporin 的其他交互作用
Selumetinib 的其他交互作用
常見問題
Can I take Cyclosporin with Selumetinib?
MediHelp rates the interaction as major. Cyclosporin 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. Cyclosporine is a CYP3A4 inhibitor and can increase selumetinib concentrations. This raises the risk of selumetinib toxicities such as gastrointestinal effects, rash, and cardiomyopathy.
How serious is the interaction between Cyclosporin 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: Avoid if possible; otherwise reduce the selumetinib dose per its labeling and monitor for adverse effects. Restore the original dose about three half-lives after stopping the inhibitor.
What other medicines interact with Cyclosporin?
MediHelp also lists interactions of Cyclosporin with, for example, Adenovirus types 4 and 7 live, Aliskiren, Bcg vaccine live. The full list is on the Cyclosporin 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。
