藥物交互作用
Pyrimethamine + Sapropterin
嚴重程度: 中度
Pyrimethamine and Sapropterin: moderate interaction.
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摘要
Sapropterin is a synthetic form of tetrahydrobiopterin, and its recycling depends on folate-related enzymes. Pyrimethamine inhibits dihydrofolate reductase, which is also involved in pterin metabolism, so sapropterin effect may be reduced. The clinical significance is uncertain.
用白話說明這項交互作用的意義
Pyrimethamine and Sapropterin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Pyrimethamine belongs to Anti Parasitic; Sapropterin belongs to Miscellaneous.
為什麼會發生
Pyrimethamine, a DHFR inhibitor, may impair regeneration of tetrahydrobiopterin and so lessen sapropterin effect.
處置方式
Monitor blood phenylalanine more often when the two are combined, and adjust the sapropterin dose if control worsens.
可向藥師詢問的問題
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
Pyrimethamine 的其他交互作用
Sapropterin 的其他交互作用
常見問題
Can I take Pyrimethamine with Sapropterin?
MediHelp rates the interaction as moderate. Pyrimethamine and Sapropterin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Sapropterin is a synthetic form of tetrahydrobiopterin, and its recycling depends on folate-related enzymes. Pyrimethamine inhibits dihydrofolate reductase, which is also involved in pterin metabolism, so sapropterin effect may be reduced. The clinical significance is uncertain.
How serious is the interaction between Pyrimethamine and Sapropterin?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood phenylalanine more often when the two are combined, and adjust the sapropterin dose if control worsens.
What other medicines interact with Pyrimethamine?
MediHelp also lists interactions of Pyrimethamine with, for example, Deferiprone, Eliglustat, Acalabrutinib. The full list is on the Pyrimethamine page.
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