Interações de Cisplatina

Cisplatina (Platinol) tem 21 interações documentadas nas bulas da FDA e nas fichas informativas que indexamos (graves: 6; moderadas: 7; leves: 8; casos em que uma bula relata não haver interação significativa: 0). Cada item abaixo cita a frase em que se baseia. Esta página de medicamento é um ponto de partida, não um veredito para a sua situação.

Interações segundo a bula

Interações graves (6)

  • Fatal bleomycin pulmonary toxicity has been reported in a patient with unrecognized cisplatin-induced oliguric renal failure. (bula de Bleomicina, Interações medicamentosas)

  • FenitoínaanticonvulsivanteGrave

    …magnesium hydroxide Prevention or Management: Phenytoin and antacids should not be taken at the same time of day Antineoplastic agents (usually in combination) Bleomycin, carboplatin, cisplatin, doxorubicin, methotrexate Antiviral agents Fosamprenavir, nelfinavir, ritonavir Antiepileptic drugs Carbamazepine, vigabatrin Other Chronic alcohol abuse, diazepam, diazoxide,… (bula de Fenitoína, Interações medicamentosas)

  • GentamicinaaminoglicosídeoGrave

    Concurrent and/or sequential systemic or topical use of other potentially neurotoxic and/or nephrotoxic drugs, such as cisplatin, cephaloridine, kanamycin, amikacin, neomycin, polymyxin B, colistin, paromomycin, streptomycin, tobramycin, vancomycin, and viomycin, should be avoided (see PRECAUTIONS, Drug Interactions section). (bula de Gentamicina, Advertência em caixa preta)

  • NeomicinaaminoglicosídeoGrave

    Concurrent and/or sequential systemic, oral or topical use of other aminoglycosides, including paromomycin and other potentially nephrotoxic and/or neurotoxic drugs such as bacitracin, cisplatin, vancomycin, amphotericin B, polymyxin B, colistin and viomycin, should be avoided because the toxicity may be additive. (bula de Neomicina, Advertência em caixa preta)

  • Pentamidinamedicamento que prolonga o intervalo QTGrave

    Because the nephrotoxic effects may be additive, the concomitant or sequential use of Pentamidine Isethionate and other nephrotoxic drugs such as aminoglycosides, amphotericin B, cisplatin, foscarnet, or vancomycin should be closely monitored and avoided, if possible. (bula de Pentamidina, Interações medicamentosas)

  • NEXAVAR in combination with gemcitabine/cisplatin is not recommended in patients with squamous cell lung cancer. (bula de Sorafenibe, Advertências e precauções)

Interações moderadas (7)

  • FosfenitoínaanticonvulsivanteModerada

    …phenothiazines, salicylates, ticlopidine, tolbutamide, trazodone, warfarin Drugs that may decrease phenytoin serum levels Antineoplastic agents usually in combination Bleomycin, carboplatin, cisplatin, doxorubicin, methotrexate Antiviral agents Fosamprenavir, nelfinavir, ritonavir Antiepileptic drugs Carbamazepine, vigabatrin Other Chronic alcohol abuse, diazepam, diazoxide,… (bula de Fosfenitoína, Interações medicamentosas)

  • Furosemidadiurético de alçaModerada

    • Cisplatin and nephrotoxic drugs : Risk of ototoxicity and nephrotoxicity ( 7.1 ) (bula de Furosemida, Interações medicamentosas)

  • IfosfamidaModerada

    Risk factors include high ifosfamide dosage, hypoalbuminemia, impaired renal function, poor performance status, bulky abdominal-pelvic disease, nephrotoxic treatments including cisplatin, CNS active drugs, or alcohol use. (bula de Ifosfamida, Advertências e precauções)

  • RituximabeimunossupressorModerada

    Renal toxicity has occurred in patients who experience tumor lysis syndrome and in patients with NHL administered concomitant cisplatin therapy during clinical trials. (bula de Rituximabe, Advertências e precauções)

  • TacrolimoimunossupressorModerada

    The risk for nephrotoxicity may increase when ASTAGRAF XL is concomitantly administered with CYP3A inhibitors (by increasing tacrolimus whole blood concentrations) or drugs associated with nephrotoxicity (e.g., aminoglycosides, ganciclovir, amphotericin B, cisplatin, nucleotide reverse transcriptase inhibitors, protease inhibitors). (bula de Tacrolimo, Advertências e precauções)

  • TrilaciclibeModerada

    Co-administration of COSELA may increase the concentration or net accumulation of OCT2, MATE1, and MATE-2K substrates in the kidney (e.g., dofetilide, dalfampridine, and cisplatin) [see Clinical Pharmacology ( 12.3 )]. (bula de Trilaciclibe, Interações medicamentosas)

  • Verapamilbloqueador dos canais de cálcioModerada

    The absorption of verapamil can be reduced by the cyclophosphamide, oncovin, procarbazine, prednisone (COPP) and the vindesine, adriamycin, cisplatin (VAC) cytotoxic drug regimens. (bula de Verapamil, Interações medicamentosas)

Menções leves (8)

  • Closely evaluate the renal function of patients Examples: Aminoglycosides, amphotericin B, systemic bacitracin, cisplatin, cyclosporine, foscarnet, or parenteral vancomycin Angiotensin Converting Enzyme (ACE) Inhibitors Clinical Impact: The hyponatremic and hypotensive effects of ACE inhibitors may be diminished by the concomitant administration of aspirin due… (bula de Butalbital + ácido acetilsalicílico + cafeína + codeína, Interações medicamentosas)

  • In gastric cancer patients treated with docetaxel in combination with cisplatin and fluorouracil (TCF), febrile neutropenia and/or neutropenic infection occurred in 12% of patients receiving G-CSF compared to 28% who did not. (bula de Docetaxel, Advertências e precauções)

  • Espironolactonaantagonista da aldosteronaLeve

    Worsening of renal function can also occur with concomitant use of nephrotoxic drugs (e.g., aminoglycosides, cisplatin, and NSAIDs). (bula de Espironolactona, Advertências e precauções)

  • Cisplatin may affect melphalan kinetics by inducing renal dysfunction and subsequently altering melphalan clearance. (bula de Melfalana, Interações medicamentosas)

  • Ondansetronamedicamento que prolonga o intervalo QTLeve

    Chemotherapy In humans, carmustine, etoposide, and cisplatin do not affect the pharmacokinetics of ondansetron. (bula de Ondansetrona, Interações medicamentosas)

  • PemetrexedeantimetabólitoLeve

    …(38% versus 23%), thrombocytopenia (9% versus 5%), febrile neutropenia (9% versus 0.6%), and neutropenic infection (6% versus 0) were higher in patients who received pemetrexed plus cisplatin without vitamin supplementation as compared to patients who were fully supplemented with folic acid and vitamin B 12 prior to and throughout pemetrexed plus cisplatin treatment. (bula de Pemetrexede, Advertências e precauções)

  • Torasemidadiurético de alçaLeve

    Worsening of renal function can also occur with concomitant use of nephrotoxic drugs (e.g., aminoglycosides, cisplatin, and NSAIDs). (bula de Torasemida, Advertências e precauções)

  • Myelosuppression Myelosuppression, manifested by neutropenia, anemia and thrombocytopenia, occur in patients receiving vinorelbine as a single agent and in combination with cisplatin [see Adverse Reactions ( 6.1 , 6.2 )] . (bula de Vinorelbina, Advertências e precauções)

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Não é aconselhamento médico. A gravidade reflete a redação da bula, não as suas circunstâncias. Um alerta “grave” pode ser rotina sob supervisão, e um “leve” pode ser importante em doses altas. Pergunte a um farmacêutico.