藥物交互作用
Lorlatinib + Mitotane
嚴重程度: 禁忌併用
Lorlatinib and Mitotane: contraindicated interaction.
最後更新
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摘要
Mitotane is a strong CYP3A4 inducer with a very long half-life, and can markedly lower lorlatinib exposure. This may lead to loss of efficacy and hepatotoxicity.
用白話說明這項交互作用的意義
Lorlatinib and Mitotane 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.
Lorlatinib belongs to Oncology; Mitotane belongs to Oncology.
為什麼會發生
Mitotane induces CYP3A4 and increases lorlatinib metabolism.
處置方式
Avoid the combination; because mitotane persists for weeks to months, choose an alternative to lorlatinib or other therapy.
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?
Lorlatinib 的其他交互作用
Mitotane 的其他交互作用
常見問題
Can I take Lorlatinib with Mitotane?
MediHelp rates the interaction as contraindicated. Lorlatinib and Mitotane 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. Mitotane is a strong CYP3A4 inducer with a very long half-life, and can markedly lower lorlatinib exposure. This may lead to loss of efficacy and hepatotoxicity.
How serious is the interaction between Lorlatinib and Mitotane?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination; because mitotane persists for weeks to months, choose an alternative to lorlatinib or other therapy.
What other medicines interact with Lorlatinib?
MediHelp also lists interactions of Lorlatinib with, for example, Amobarbital, Apalutamide, Butabarbital. The full list is on the Lorlatinib 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。
