藥物交互作用
Tisotumab vedotin + Voriconazole
嚴重程度: 中度
Tisotumab vedotin and Voriconazole: moderate interaction.
最後更新
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摘要
Voriconazole may increase exposure to unconjugated MMAE, the cytotoxic payload released from tisotumab vedotin. This could heighten toxicities such as neutropenia, neuropathy and ocular or hepatic effects.
用白話說明這項交互作用的意義
Tisotumab vedotin and Voriconazole 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.
Tisotumab vedotin belongs to Oncology; Voriconazole belongs to Anti Fungals.
為什麼會發生
Voriconazole inhibits CYP3A4, which metabolizes MMAE.
處置方式
Monitor for adverse reactions such as neuropathy and neutropenia, and consider an alternative to a strong CYP3A4 inhibitor if feasible. Interrupt or reduce tisotumab vedotin if toxicity occurs.
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?
Voriconazole 的其他交互作用
Tisotumab vedotin 的其他交互作用
常見問題
Can I take Tisotumab vedotin with Voriconazole?
MediHelp rates the interaction as moderate. Tisotumab vedotin and Voriconazole 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. Voriconazole may increase exposure to unconjugated MMAE, the cytotoxic payload released from tisotumab vedotin. This could heighten toxicities such as neutropenia, neuropathy and ocular or hepatic effects.
How serious is the interaction between Tisotumab vedotin and Voriconazole?
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 for adverse reactions such as neuropathy and neutropenia, and consider an alternative to a strong CYP3A4 inhibitor if feasible. Interrupt or reduce tisotumab vedotin if toxicity occurs.
What other medicines interact with Voriconazole?
MediHelp also lists interactions of Voriconazole with, for example, Avanafil, Butabarbital, Carbamazepine. The full list is on the Voriconazole page.
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