藥物交互作用
Sodium valproate + Vorinostat
嚴重程度: 嚴重
Sodium valproate and Vorinostat: major interaction.
最後更新
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摘要
Valproate has HDAC inhibitory activity and, when combined with vorinostat, has been associated with severe thrombocytopenia and gastrointestinal bleeding. This is a serious hematologic toxicity.
用白話說明這項交互作用的意義
Sodium valproate and Vorinostat 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.
Sodium valproate belongs to Central Nervous System; Vorinostat belongs to Oncology.
為什麼會發生
Additive HDAC inhibition and bone marrow suppression, with consequent thrombocytopenia.
處置方式
Avoid the combination where possible. If used, monitor platelet counts every 2 weeks for the first 2 months and watch for bleeding, adjusting or stopping therapy if counts fall.
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?
Vorinostat 的其他交互作用
Sodium valproate 的其他交互作用
常見問題
Can I take Sodium valproate with Vorinostat?
MediHelp rates the interaction as major. Sodium valproate and Vorinostat 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. Valproate has HDAC inhibitory activity and, when combined with vorinostat, has been associated with severe thrombocytopenia and gastrointestinal bleeding. This is a serious hematologic toxicity.
How serious is the interaction between Sodium valproate and Vorinostat?
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 where possible. If used, monitor platelet counts every 2 weeks for the first 2 months and watch for bleeding, adjusting or stopping therapy if counts fall.
What other medicines interact with Vorinostat?
MediHelp also lists interactions of Vorinostat with, for example, Thioridazine, Amiodarone, Amisulpride. The full list is on the Vorinostat 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。
