藥物交互作用
Cyclosporine + Etoposide
嚴重程度: 嚴重
Cyclosporine and Etoposide: major interaction.
最後更新
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
Cyclosporine inhibits CYP3A4 and P-glycoprotein and can markedly raise etoposide exposure. This may cause more severe myelosuppression and mucositis, and cyclosporine's own immunosuppression adds to the risk of infection.
用白話說明這項交互作用的意義
Cyclosporine and Etoposide 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.
為什麼會發生
Inhibition of P-gp efflux and CYP3A4 metabolism of etoposide by cyclosporine.
處置方式
Reduce the etoposide dose when given with cyclosporine and monitor blood counts closely. Watch for infection and mucositis.
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?
Etoposide 的其他交互作用
常見問題
Can I take Cyclosporine with Etoposide?
MediHelp rates the interaction as major. Cyclosporine and Etoposide 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 inhibits CYP3A4 and P-glycoprotein and can markedly raise etoposide exposure. This may cause more severe myelosuppression and mucositis, and cyclosporine's own immunosuppression adds to the risk of infection.
How serious is the interaction between Cyclosporine and Etoposide?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce the etoposide dose when given with cyclosporine and monitor blood counts closely. Watch for infection and mucositis.
What other medicines interact with Etoposide?
MediHelp also lists interactions of Etoposide with, for example, Adenovirus types 4 and 7 live, Pentostatin, Cyclosporin. The full list is on the Etoposide 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。
