藥物交互作用
Elivaldogene autotemcel + Stavudine
嚴重程度: 嚴重
Elivaldogene autotemcel and Stavudine: 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
Antiretrovirals can inhibit lentiviral vector transduction of the patient's collected stem cells, which may compromise manufacture and engraftment of the gene therapy product. Antiretrovirals must therefore be stopped before stem cell mobilization and apheresis.
用白話說明這項交互作用的意義
Elivaldogene autotemcel and Stavudine 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
Antiretroviral reverse transcriptase inhibitors can interfere with lentiviral vector transduction during manufacturing of the gene-modified cells.
處置方式
Stop stavudine at least 1 month before mobilization and keep it off until all apheresis cycles are completed. Plan alternative HIV management with the infectious disease team.
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?
Stavudine 的其他交互作用
常見問題
Can I take Elivaldogene autotemcel with Stavudine?
MediHelp rates the interaction as major. Elivaldogene autotemcel and Stavudine 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. Antiretrovirals can inhibit lentiviral vector transduction of the patient's collected stem cells, which may compromise manufacture and engraftment of the gene therapy product. Antiretrovirals must therefore be stopped before stem cell mobilization and apheresis.
How serious is the interaction between Elivaldogene autotemcel and Stavudine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Stop stavudine at least 1 month before mobilization and keep it off until all apheresis cycles are completed. Plan alternative HIV management with the infectious disease team.
What other medicines interact with Stavudine?
MediHelp also lists interactions of Stavudine with, for example, Didanosine, Elvitegravir / cobicistat / emtricitabine / tenofovir df, Hydroxycarbamide. The full list is on the Stavudine 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。
