Considerações sobre interações entre medicamentos usados no tratamento de linfomas e na terapia experimental da COVID-19
DOI:
https://doi.org/10.33448/rsd-v10i9.17962Palavras-chave:
SARS-CoV-2; Hodgkin; não-Hodgkin; Interação droga-droga; Sistema enzimático do citocromo P450.Resumo
Os linfomas são neoplasias caracterizadas por um ambiente tumoral imunocomprometido que induz processos inflamatórios cuja produção de células de defesa pode ser posteriormente afetada pela quimioterapia. Esses detalhes levam a supor que indivíduos com esses cânceres apresentam complicações clínicas mais graves quando contaminados pelo SARS-CoV-2, o que torna necessário a atenção para o correto manejo terapêutico. Assim, este estudo resume os medicamentos usados no tratamento dos linfomas e na terapia experimental da COVID-19, e discute as possíveis interações esperadas entre os medicamentos. A maioria das interações medicamentosas ocorre por meio de alterações no metabolismo do sistema enzimático do citocromo P450 ou no transportador de efluxo da glicoproteína P (gp-P). Dependendo das combinações, pode haver aumento ou diminuição da concentração do medicamento e, consequentemente, aumento da toxicidade ou diminuição da eficácia, o que significa que a farmacocinética deve ser fortemente considerada para promover a segurança do medicamento e melhor manejo de pacientes com COVID- 19 e linfomas.
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