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藥物交互作用

Fingolimod + Siponimod

嚴重程度: 禁忌併用

Fingolimod and Siponimod: contraindicated 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

Both drugs are S1P receptor modulators that reduce heart rate and lymphocyte counts. Concurrent use gives duplicated pharmacology with additive bradycardia, conduction effects and immunosuppression.

用白話說明這項交互作用的意義

Fingolimod and Siponimod 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.

Fingolimod belongs to Central Nervous System; Siponimod belongs to Central Nervous System.

證據等級: Moderate

為什麼會發生

Duplicate S1P receptor modulation with additive negative chronotropic and immunosuppressive effects.

處置方式

Do not use together; allow an adequate washout when switching, with lymphocyte recovery and cardiac monitoring as indicated.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

Pro+ 會員專屬

解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Fingolimod 與 Siponimod 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

在網頁版免費試用 Pro+ 14 天,無需信用卡。

常見問題

Can I take Fingolimod with Siponimod?

MediHelp rates the interaction as contraindicated. Fingolimod and Siponimod 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. Both drugs are S1P receptor modulators that reduce heart rate and lymphocyte counts. Concurrent use gives duplicated pharmacology with additive bradycardia, conduction effects and immunosuppression.

How serious is the interaction between Fingolimod and Siponimod?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use together; allow an adequate washout when switching, with lymphocyte recovery and cardiac monitoring as indicated.

What other medicines interact with Fingolimod?

MediHelp also lists interactions of Fingolimod with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Pimozide. The full list is on the Fingolimod page.

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