藥物交互作用
Fludarabine + Ofatumumab sc
嚴重程度: 嚴重
Fludarabine and Ofatumumab sc: major interaction.
最後更新
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本頁的臨床內容僅提供英文版。
摘要
Ofatumumab depletes B cells and fludarabine causes broad lymphocyte depletion. Together they increase the immunosuppressive burden and the risk of serious infection, including opportunistic infection and hepatitis B reactivation.
用白話說明這項交互作用的意義
Fludarabine and Ofatumumab sc 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
Additive pharmacodynamic immunosuppression from anti-CD20 B-cell depletion and purine analogue cytotoxicity.
處置方式
Avoid concurrent use where possible; monitor for infection and lymphocyte and immunoglobulin levels, and screen for hepatitis B before treatment.
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?
Fludarabine 的其他交互作用
常見問題
Can I take Fludarabine with Ofatumumab sc?
MediHelp rates the interaction as major. Fludarabine and Ofatumumab sc 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. Ofatumumab depletes B cells and fludarabine causes broad lymphocyte depletion. Together they increase the immunosuppressive burden and the risk of serious infection, including opportunistic infection and hepatitis B reactivation.
How serious is the interaction between Fludarabine and Ofatumumab sc?
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 concurrent use where possible; monitor for infection and lymphocyte and immunoglobulin levels, and screen for hepatitis B before treatment.
What other medicines interact with Fludarabine?
MediHelp also lists interactions of Fludarabine with, for example, Adenovirus types 4 and 7 live, Pentostatin, Belatacept. The full list is on the Fludarabine 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。
