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藥物交互作用

Sepiapterin + Sulphasalazine

嚴重程度: 嚴重

Sepiapterin and Sulphasalazine: major 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

Sulfasalazine inhibits sepiapterin reductase, the enzyme that converts sepiapterin to BH4 in part of the pathway. This can reduce BH4 formation and loss of phenylalanine control.

用白話說明這項交互作用的意義

Sepiapterin and Sulphasalazine 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.

Sepiapterin belongs to Miscellaneous; Sulphasalazine belongs to Gastrointestinal Tract.

證據等級: Low

為什麼會發生

Inhibition of sepiapterin reductase by sulfasalazine reduces BH4 production.

處置方式

Avoid the combination if possible. If unavoidable, monitor blood phenylalanine regularly.

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?

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

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常見問題

Can I take Sepiapterin with Sulphasalazine?

MediHelp rates the interaction as major. Sepiapterin and Sulphasalazine 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. Sulfasalazine inhibits sepiapterin reductase, the enzyme that converts sepiapterin to BH4 in part of the pathway. This can reduce BH4 formation and loss of phenylalanine control.

How serious is the interaction between Sepiapterin and Sulphasalazine?

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 the combination if possible. If unavoidable, monitor blood phenylalanine regularly.

What other medicines interact with Sepiapterin?

MediHelp also lists interactions of Sepiapterin with, for example, Methotrexate, Pemetrexed, Levodopa. The full list is on the Sepiapterin page.

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