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Drug interactions

Isavuconazonium + Pramipexole

Severity: Minor

Isavuconazonium and Pramipexole: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Isavuconazole inhibits OCT2 and may reduce renal secretion of pramipexole, raising its levels. The effect is likely modest but could amplify dopaminergic adverse effects.

What this interaction means in plain words

Isavuconazonium and Pramipexole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Isavuconazonium belongs to Anti Fungals; Pramipexole belongs to Cardiovascular.

Evidence level: Low

Why it happens

Isavuconazole inhibits renal OCT2-mediated tubular secretion of pramipexole.

What to do

Monitor for somnolence, nausea, dyskinesia and orthostatic hypotension, and lower the pramipexole dose if they occur.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Isavuconazonium with Pramipexole?

MediHelp rates the interaction as minor. Isavuconazonium and Pramipexole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Isavuconazole inhibits OCT2 and may reduce renal secretion of pramipexole, raising its levels. The effect is likely modest but could amplify dopaminergic adverse effects.

How serious is the interaction between Isavuconazonium and Pramipexole?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for somnolence, nausea, dyskinesia and orthostatic hypotension, and lower the pramipexole dose if they occur.

What other medicines interact with Pramipexole?

MediHelp also lists interactions of Pramipexole with, for example, Amisulpride, Chlorpromazine, Droperidol. The full list is on the Pramipexole page.

Full monographs, dosing and an interaction checker in the MediHelp app

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