Fluorourasil etkileşimleri

antimetabolit sınıfından Fluorourasil (Adrucil, Efudex, Carac) için dizinlediğimiz FDA etiketlerinde ve bilgi sayfalarında 45 belgelenmiş etkileşim var: 6 majör, 29 orta, 10 minör ve bir etiketin anlamlı etkileşim olmadığını bildirdiği 0 çift. Aşağıdaki her kayıt, dayandığı cümleyi alıntılar. Bu ilaç sayfası bir başlangıç noktasıdır; sizin durumunuz için verilmiş bir hüküm değildir.

Etikete göre etkileşimler

Majör etkileşimler (6)

  • Allopurinolksantin oksidaz inhibitörüMajör

    Intervention Concomitant administration with fluorouracil should be avoided. (Allopurinol etiketi, İlaç etkileşimleri)

  • BosentanCYP3A4 indükleyicisiMajör

    Co-administration of such combinations of a CYP2C9 inhibitor plus a strong or moderate CYP3A inhibitor with TRACLEER is not recommended. (Bosentan etiketi, İlaç etkileşimleri)

  • KapesitabinantimetabolitMajör

    XELODA is contraindicated in patients with history of severe hypersensitivity reaction to fluorouracil or capecitabine [see Adverse Reactions (6.1) ] . (Kapesitabin etiketi, Kontrendikasyonlar)

  • Deaths from severe enterocolitis, diarrhea, and dehydration have occurred in elderly patients receiving weekly d,l- leucovorin and fluorouracil. (Levolökovorin etiketi, Uyarılar ve önlemler)

  • Moderate dual CYP3A4 and CYP2C9 inhibitors (fluconazole, amiodarone) or use of combined CYP3A4 and CYP2C9 inhibitors may increase exposure to macitentan: avoid co-administration with OPSUMIT ( 7.3 , 12.3 ). (Masitentan etiketi, İlaç etkileşimleri)

  • TinidazolantibiyotikMajör

    If the concomitant use of tinidazole and fluorouracil cannot be avoided, the patient should be monitored for fluorouracilassociated toxicities. (Tinidazol etiketi, İlaç etkileşimleri)

Orta düzey etkileşimler (29)

  • ApiksabanantikoagülanOrta

    Closely monitor patients receiving concomitant coumarin-derivative anticoagulants such as warfarin for INR or prothrombin time in order to adjust the anticoagulant dose accordingly [see Drug Interactions (7) ]. (Fluorourasil etiketi, Uyarılar ve önlemler)

  • ArgatrobanantikoagülanOrta

    Closely monitor patients receiving concomitant coumarin-derivative anticoagulants such as warfarin for INR or prothrombin time in order to adjust the anticoagulant dose accordingly [see Drug Interactions (7) ]. (Fluorourasil etiketi, Uyarılar ve önlemler)

  • AvanafilPDE5 inhibitörüOrta

    HIV Protease inhibitor — Ritonavir (600 mg twice daily), a strong CYP3A4 inhibitor, which also inhibits CYP2C9, increased avanafil 50 mg single-dose C max and AUC equal to approximately 2-fold and 13-fold, and prolonged the half-life of avanafil to approximately 9 hours in healthy volunteers. (Avanafil etiketi, İlaç etkileşimleri)

  • BivalirudinantikoagülanOrta

    Closely monitor patients receiving concomitant coumarin-derivative anticoagulants such as warfarin for INR or prothrombin time in order to adjust the anticoagulant dose accordingly [see Drug Interactions (7) ]. (Fluorourasil etiketi, Uyarılar ve önlemler)

  • DabigatranantikoagülanOrta

    Closely monitor patients receiving concomitant coumarin-derivative anticoagulants such as warfarin for INR or prothrombin time in order to adjust the anticoagulant dose accordingly [see Drug Interactions (7) ]. (Fluorourasil etiketi, Uyarılar ve önlemler)

  • DiklofenakNSAİİOrta

    Co-administration of diclofenac with CYP2C9 inhibitors (e.g. voriconazole) may enhance the exposure and toxicity of diclofenac whereas co- administration with CYP2C9 inducers (e.g. rifampin) may lead to compromised efficacy of diclofenac. (Diklofenak etiketi, İlaç etkileşimleri)

  • Co-administration of diclofenac with CYP2C9 inhibitors (e.g., voriconazole) may enhance the exposure and toxicity of diclofenac [see Clinical Pharmacology (12.3) ] whereas co-administration with CYP2C9 inducers (e.g., rifampin) may lead to compromised efficacy of diclofenac. (Diklofenak ve misoprostol etiketi, İlaç etkileşimleri)

  • DronabinolkannabinoidOrta

    Monitor for increased dronabinol-related adverse reactions when dronabinol oral solution is co-administered with inhibitors of CYP2C9 (e.g., amiodarone, fluconazole) and inhibitors of CYP3A4 enzymes (e.g., ketoconazole, itraconazole, clarithromycin, ritonavir, erythromycin, grapefruit juice). (Dronabinol etiketi, İlaç etkileşimleri)

  • EdoksabanantikoagülanOrta

    Closely monitor patients receiving concomitant coumarin-derivative anticoagulants such as warfarin for INR or prothrombin time in order to adjust the anticoagulant dose accordingly [see Drug Interactions (7) ]. (Fluorourasil etiketi, Uyarılar ve önlemler)

  • Effect of TRIKAFTA on Other Drugs CYP2C9 Substrates Ivacaftor may inhibit CYP2C9; therefore, monitoring of the international normalized ratio (INR) during concomitant use of TRIKAFTA with warfarin is recommended. (Eleksakaftor, tezakaftor ve ivakaftor etiketi, İlaç etkileşimleri)

  • EnoksaparinantikoagülanOrta

    Closely monitor patients receiving concomitant coumarin-derivative anticoagulants such as warfarin for INR or prothrombin time in order to adjust the anticoagulant dose accordingly [see Drug Interactions (7) ]. (Fluorourasil etiketi, Uyarılar ve önlemler)

  • FenitoinantikonvülsanOrta

    …drugs Ethosuximide, felbamate, oxcarbazepine, methsuximide, topiramate Azoles Fluconazole, ketoconazole, itraconazole, miconazole, voriconazole Antineoplastic agents Capecitabine, fluorouracil Antidepressants Fluoxetine, fluvoxamine, sertraline Gastric acid reducing agents H 2 antagonists (cimetidine), omeprazole Sulfonamides Sulfamethizole, sulfaphenazole, sulfadiazine,… (Fenitoin etiketi, İlaç etkileşimleri)

  • FondaparinuksantikoagülanOrta

    Closely monitor patients receiving concomitant coumarin-derivative anticoagulants such as warfarin for INR or prothrombin time in order to adjust the anticoagulant dose accordingly [see Drug Interactions (7) ]. (Fluorourasil etiketi, Uyarılar ve önlemler)

  • FosfenitoinantikonvülsanOrta

    …drugs Ethosuximide, felbamate, oxcarbazepine, methsuximide, topiramate Azoles Fluconazole, ketoconazole, itraconazole, miconazole, voriconazole Antineoplastic agents Capecitabine, fluorouracil Antidepressants Fluoxetine, fluvoxamine, sertraline Gastric acid reducing agents H 2 antagonists (cimetidine), omeprazole Sulfonamides Sulfamethizole, sulfaphenazole, sulfadiazine,… (Fosfenitoin etiketi, İlaç etkileşimleri)

  • HeparinantikoagülanOrta

    Closely monitor patients receiving concomitant coumarin-derivative anticoagulants such as warfarin for INR or prothrombin time in order to adjust the anticoagulant dose accordingly [see Drug Interactions (7) ]. (Fluorourasil etiketi, Uyarılar ve önlemler)

  • Karvedilolbeta blokerOrta

    Amiodarone Amiodarone and its metabolite desethyl amiodarone, inhibitors of CYP2C9, and P- glycoprotein increased concentrations of the S(-)-enantiomer of carvedilol by at least 2 fold [see Clinical Pharmacology (12.5) ]. (Karvedilol etiketi, İlaç etkileşimleri)

  • LakozamidantikonvülsanOrta

    Strong CYP3A4 or CYP2C9 Inhibitors Patients with renal or hepatic impairment who are taking strong inhibitors of CYP3A4 and CYP2C9 may have a significant increase in exposure to VIMPAT. (Lakozamid etiketi, İlaç etkileşimleri)

  • Levotiroksintiroid hormonuOrta

    …Drugs That May Alter T 4 and Triiodothyronine (T 3 ) Serum Transport Without Effecting Free Thyroxine (FT 4 ) Concentration (Euthyroidism) Drug or Drug Class Effect Clofibrate Estrogen-containing oral contraceptives Estrogens (oral) Heroin/Methadone 5-Fluorouracil Mitotane Tamoxifen These drugs may increase serum thyroxine-binding globulin (TBG) concentration. (Levotiroksin etiketi, İlaç etkileşimleri)

  • Liyotironintiroid hormonuOrta

    Table 2: Drugs That May Alter Triiodothyronine (T3) Serum Transport Without Affecting Free Thyroxine (FT4) Concentration (Euthyroidism) Drug or Drug Class Effect Clofibrate Estrogen-containing oral contraceptives Estrogens (oral) Heroin/Methadone 5-Fluorouracil Mitotane Tamoxifen These drugs may increase serum thyroxine-binding globulin (TBG) concentration. (Liyotironin etiketi, İlaç etkileşimleri)

  • MeloksikamNSAİİOrta

    Thus concomitant usage of CYP2C9 inhibitors (such as amiodarone, fluconazole, and sulphaphenazole) may lead to abnormally high plasma levels of meloxicam due to reduced metabolic clearance [ see Use in Specific Populations ( 8.8 ); and Clinical Pharmacology ( 12.3 , 12.5 ) ]. (Meloksikam etiketi, İlaç etkileşimleri)

  • NateglinidmeglitinidOrta

    …salicylates, monoamine oxidase inhibitors, non-selective beta-adrenergic-blocking agents, anabolic hormones (e.g., methandrostenolone), guanethidine, gymnema sylvestre, glucomannan, thioctic acid, and inhibitors of CYP2C9 (e.g., amiodarone, fluconazole, voriconazole, sulfinpyrazone) or in patients known to be poor metabolizers of CYP2C9 substrates, alcohol. (Nateglinid etiketi, İlaç etkileşimleri)

  • Hemorrhage : Increase frequency of monitoring in patients who are receiving oxaliplatin injection with fluorouracil/leucovorin and oral anticoagulants (5.9) (Oksaliplatin etiketi, Uyarılar ve önlemler)

  • Ramelteonsedatif-hipnotikOrta

    Fluconazole (strong CYP2C9 inhibitor): Increases systemic exposure of ramelteon; administer with caution. (Ramelteon etiketi, İlaç etkileşimleri)

  • RivaroksabanantikoagülanOrta

    Closely monitor patients receiving concomitant coumarin-derivative anticoagulants such as warfarin for INR or prothrombin time in order to adjust the anticoagulant dose accordingly [see Drug Interactions (7) ]. (Fluorourasil etiketi, Uyarılar ve önlemler)

  • RosuvastatinstatinOrta

    Rosuvastatin plasma levels can be significantly increased with concomitant administration of inhibitors of CYP2C9 and transporters. (Rosuvastatin etiketi, İlaç etkileşimleri)

  • SelekoksibNSAİİOrta

    Co-administration of celecoxib with drugs that are known to inhibit CYP2C9 (e.g., fluconazole) may enhance the exposure and toxicity of celecoxib whereas co-administration with CYP2C9 inducers (e.g., rifampin) may lead to compromised efficacy of celecoxib. (Selekoksib etiketi, İlaç etkileşimleri)

  • Torasemidkıvrım (loop) diüretiğiOrta

    CYP2C9: Concomitant use with CYP2C9 inhibitors can decrease torsemide clearance. (Torasemid etiketi, İlaç etkileşimleri)

  • VarfarinantikoagülanOrta

    Increased Risk of Elevated INR with Warfarin: Concurrent administration with warfarin can result in clinically significant increases in coagulation parameters: Closely monitor INR and prothrombin time. (Fluorourasil etiketi, Uyarılar ve önlemler)

  • Zafirlukastlökotrien reseptör antagonistiOrta

    Zafirlukast exposure is likely to be increased by other moderate and strong CYP2C9 inhibitors. (Zafirlukast etiketi, Önlemler)

Minör değinmeler (10)

  • In a trial conducted in patients with metastatic breast cancer who were treated with fluorouracil, doxorubicin, and cyclophosphamide (FAC) with or without dexrazoxane starting with their first cycle of FAC therapy, patients who were randomized to receive dexrazoxane had a lower response rate (48% vs. 63%) and shorter time to progression than patients who were… (Deksrazoksan etiketi, Uyarılar ve önlemler)

  • 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. (Dosetaksel etiketi, Uyarılar ve önlemler)

  • FlusitozinantifungalMinör

    5-Fluorouracil is a metabolite of flucytosine. (Flusitozin etiketi, Uyarılar)

  • 5-Fluorouracil (5-FU) and Leucovorin (LV) In a phase 1 clinical study involving irinotecan, 5-fluorouracil (5-FU), and leucovorin (LV) in 26 patients with solid tumors, the disposition of irinotecan was not substantially altered when the drugs were co-administered. (İrinotekan etiketi, İlaç etkileşimleri)

  • Klopidogrelantitrombosit ilaçMinör

    However, at high concentrations in vitro , clopidogrel inhibits CYP2C9. (Klopidogrel etiketi, İlaç etkileşimleri)

  • NeomisinaminoglikozidMinör

    Oral neomycin inhibits the gastrointestinal absorption of penicillin V, oral vitamin B-12, methotrexate and 5-fluorouracil. (Neomisin etiketi, İlaç etkileşimleri)

  • TerbinafinantifungalMinör

    Fluconazole is an inhibitor of CYP2C9 and CYP3A enzymes. (Terbinafin etiketi, İlaç etkileşimleri)

  • Toremifenselektif östrojen reseptör modülatörüMinör

    Toremifene is a weak inhibitor of CYP2C9. (Toremifen etiketi, İlaç etkileşimleri)

  • VardenafilPDE5 inhibitörüMinör

    The interaction is a consequence of blocking hepatic metabolism of vardenafil by ritonavir, a HIV protease inhibitor and a highly strong CYP3A4 inhibitor, which also inhibits CYP2C9. (Vardenafil etiketi, İlaç etkileşimleri)

  • VenlafaksinSNRIMinör

    CYP2C9 Venlafaxine did not inhibit CYP2C9 in vitro . (Venlafaksin etiketi, İlaç etkileşimleri)

Kullandığınız her şeyi Fluorourasil ile karşılaştırın. Tüm listenizi ekleyin; her çift tek seferde kontrol edilir.

Sorgulama aracında aç

Tıbbi tavsiye değildir. Şiddet derecesi sizin koşullarınızı değil, etiketin ifadesini yansıtır. “Majör” işareti gözetim altında olağan bir uygulama olabilir, “minör” işareti ise yüksek dozlarda önem kazanabilir. Bir eczacıya danışın.