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藥物交互作用

Fludarabine + Pentostatin

嚴重程度: 禁忌併用

Fludarabine and Pentostatin: contraindicated interaction.

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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

Combining these purine analogues has caused severe or fatal pulmonary toxicity in clinical use. The combination is contraindicated in labeling.

用白話說明這項交互作用的意義

Fludarabine and Pentostatin 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.

Fludarabine belongs to Oncology; Pentostatin belongs to Oncology.

證據等級: High

為什麼會發生

The mechanism is not established, though additive purine analogue toxicity, possibly involving adenosine deaminase inhibition, is suspected.

處置方式

Do not use together; choose a different regimen. Observe patients for respiratory symptoms if previously exposed.

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 Fludarabine 與 Pentostatin 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

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常見問題

Can I take Fludarabine with Pentostatin?

MediHelp rates the interaction as contraindicated. Fludarabine and Pentostatin 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. Combining these purine analogues has caused severe or fatal pulmonary toxicity in clinical use. The combination is contraindicated in labeling.

How serious is the interaction between Fludarabine and Pentostatin?

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; choose a different regimen. Observe patients for respiratory symptoms if previously exposed.

What other medicines interact with Fludarabine?

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

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