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Alka-Seltzer Plus Flu/Body and Apalutamide

Determining the interaction of Alka-Seltzer Plus Flu/Body and Apalutamide and the possibility of their joint administration.

Check result:
Alka-Seltzer Plus Flu/Body <> Apalutamide
Relevance: 20.02.2023 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Consumer information for this interaction is not currently available.MONITOR: Coadministration with apalutamide may decrease the plasma concentrations and therapeutic effects of drugs that are substrates of CYP450 3A4, 2C9, 2C19, breast cancer resistance protein (BCRP), uridine diphosphate glucuronosyltransferase (UGT), organic anion transporting polypeptide 1B1 (OATP1B1), and/or P-glycoprotein (P-gp) efflux transporter. The proposed mechanism involves accelerated clearance via these routes due to apalutamide-mediated induction. The resulting plasma concentrations will depend on the sensitivity of the affected drugs to these isoenzymes. MANAGEMENT: Caution is advised when apalutamide is used concomitantly with drugs that are substrates of CYP450 3A4, 2C9, 2C19, BCRP, UGT, OATP1B1, and/or P-gp, particularly those with a narrow therapeutic range. Dosage adjustments as well as clinical and laboratory monitoring may be appropriate for some drugs whenever apalutamide is added to or withdrawn from therapy. References "Product Information. Erleada (apalutamide)." Janssen Biotech, Inc., Horsham, PA, PA. Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0

Professional:

MONITOR: Coadministration with apalutamide may decrease the plasma concentrations and therapeutic effects of drugs that are substrates of CYP450 3A4, 2C9, 2C19, breast cancer resistance protein (BCRP), uridine diphosphate glucuronosyltransferase (UGT), organic anion transporting polypeptide 1B1 (OATP1B1), and/or P-glycoprotein (P-gp) efflux transporter. The proposed mechanism involves accelerated clearance via these routes due to apalutamide-mediated induction. The resulting plasma concentrations will depend on the sensitivity of the affected drugs to these isoenzymes.

MANAGEMENT: Caution is advised when apalutamide is used concomitantly with drugs that are substrates of CYP450 3A4, 2C9, 2C19, BCRP, UGT, OATP1B1, and/or P-gp, particularly those with a narrow therapeutic range. Dosage adjustments as well as clinical and laboratory monitoring may be appropriate for some drugs whenever apalutamide is added to or withdrawn from therapy.

References
  • "Product Information. Erleada (apalutamide)." Janssen Biotech, Inc., Horsham, PA, PA.
  • Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0
Alka-Seltzer Plus Flu/Body

Generic Name: acetaminophen / dextromethorphan / pseudoephedrine

Brand name: Alka-Seltzer Plus Flu/Body, DayQuil Multi-Symptom Cold/Flu, EQ Daytime Cold/Flu Relief, EQ Flu Relief, EQL Daytime Cold/Flu Relief, Tylenol Flu Maximum Strength, Sudafed Severe Cold, Tylenol Cold and Flu No Drowsiness Powder, Tylenol Cold No Drowsiness, Theraflu No Drowsiness Maximum Strength, Triaminic Sore Throat Formula, Contac Severe Cold and Flu Non Drowsy, Tylenol Cough Liquid with Decongestant, DayQuil, Day Time Multi Symptom, Triaminic Cold and Fever Formula, Sudafed Decongestant Cold and Cough, Tylenol Cold Severe Congestion, Tylenol Infants Cold Plus Cough, Robitussin Honey Flu, Extra Strength Tylenol Flu Daytime, Non-Drowsy Super Strength Contac Complete, Contact Cold and Sore Throat, Tylenol Cold & Flu Severe Day Time, Vicks Dayquil Daytime Cold/Flu, Triaminic Cough & Sore Throat, Theraflu Severe Cold & Congestion Non-Drowsy, Triaminic Softchews Cough & Sore Throat, Day Relief Cold and Flu, Tylenol Cold & Flu Daytime, Tylenol Cold Non-Drowsy Caplets, Tylenol Cold Non-Drowsy Gelcaps, Daytime Cold and Flu Relief, Daytime Non-Drowsy, Theraflu Daytime Severe Cold, Severe Cold Multi-Sympton

Synonyms: n.a.

Apalutamide

Generic Name: apalutamide

Brand name: Erleada

Synonyms: n.a.

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

Interaction with food and lifestyle