Cardiac toxicity associated with pharmacokinetic drug-drug interaction between crizotinib and sofosbuvir/velpatasvir: A case report.

Author: BatistaRui, BlanchetBenoit, CabanesLaure, ChouchanaLaurent, GoldwasserFrançois, HuillardOlivier, KhoudourNihel, MonribotAnthia, PalletNicolas, PrétaLaure-Hélène, SogniPhilippe, Thomas-SchoemannAudrey

Paper Details 
Original Abstract of the Article :
This case report describes a pharmacokinetic drug-drug interaction between crizotinib, a tyrosine kinase inhibitor, and sofosbuvir/velpatasvir, a direct-acting antiviral drug, leading to cardiac toxicity. A 75-year-old man, with no cardiovascular history but a diagnosis of metastatic nonsmall cell l...See full text at original site
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引用元:
https://doi.org/10.1111/bcp.15674

データ提供:米国国立医学図書館(NLM)

Navigating the Desert of Drug Interactions: A Case of Cardiac Toxicity

Drug interactions can be like a hidden mirage in the desert - seemingly harmless until they reveal their true nature. This case report describes a potentially dangerous interaction between crizotinib, a tyrosine kinase inhibitor used to treat cancer, and sofosbuvir/velpatasvir, a direct-acting antiviral drug used to treat hepatitis C. The patient, a 75-year-old man, experienced cardiac toxicity, including lower-limb edema and dyspnea, after starting sofosbuvir/velpatasvir. The authors suggest that this toxicity may have resulted from increased exposure to crizotinib due to a pharmacokinetic interaction between the two drugs.

The Importance of Understanding Drug Interactions

This case report highlights the importance of being aware of potential drug interactions, especially when prescribing medications for patients with multiple medical conditions. It underscores the need for careful monitoring of patients who are taking medications that may interact with each other, as well as the importance of considering alternative treatment options if necessary. In this case, the interaction between crizotinib and sofosbuvir/velpatasvir led to unexpected and potentially life-threatening complications.

Safeguarding Patient Well-being Through Vigilance and Knowledge

This case study emphasizes the importance of vigilance and knowledge in healthcare. By understanding the potential interactions between different medications, healthcare professionals can better safeguard patient well-being. It's crucial to carefully review patients' medication histories and assess the risks associated with potential interactions. This approach can help prevent adverse events and ensure that patients receive the best possible care.

Dr.Camel's Conclusion

This case report reminds us of the dangers of drug interactions, particularly when prescribing medications for patients with complex medical histories. It's like navigating a desert landscape where a seemingly harmless oasis can harbor hidden dangers. By being aware of potential interactions and monitoring patients closely, we can help ensure their safety and well-being.

Date :
  1. Date Completed 2023-03-20
  2. Date Revised 2023-03-29
Further Info :

Pubmed ID

36709977

DOI: Digital Object Identifier

10.1111/bcp.15674

Related Literature

SNS
PICO Info
in preparation
Languages

English

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