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تداخل‌های دارویی

Atazanavir + Cariprazine

شدت: شدید

Atazanavir and Cariprazine: major interaction.

آخرین به‌روزرسانی

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خلاصه

Atazanavir is a strong CYP3A4 inhibitor and can raise cariprazine and its active metabolites, which have long half-lives. This increases the risk of akathisia, extrapyramidal symptoms, sedation and metabolic effects.

معنای این تداخل به زبان ساده

Atazanavir and Cariprazine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Atazanavir belongs to Anti Virals; Cariprazine belongs to Central Nervous System.

سطح شواهد: High

چرا رخ می‌دهد

Inhibition of CYP3A4, the main route of cariprazine metabolism.

اقدام لازم

If starting cariprazine in a patient on atazanavir, use half the usual dose; if starting atazanavir in a patient on cariprazine, reduce the cariprazine dose by half (every other day if on 1.5 mg daily). Monitor for adverse effects for several weeks given the long half-life.

از داروساز چه بپرسید

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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

ویژه اعضای Pro+

باز کردن کل صفحه

یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیه‌های کامل مدیریت Atazanavir و Cariprazine، یادداشت‌های تکمیلی، جزئیات شواهد و بررسی‌کننده تداخل برای کل نسخه را باز کنید.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Pro+ را ۱۴ روز رایگان در وب امتحان کنید. بدون نیاز به کارت.

پرسش‌های متداول

Can I take Atazanavir with Cariprazine?

MediHelp rates the interaction as major. Atazanavir and Cariprazine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Atazanavir is a strong CYP3A4 inhibitor and can raise cariprazine and its active metabolites, which have long half-lives. This increases the risk of akathisia, extrapyramidal symptoms, sedation and metabolic effects.

How serious is the interaction between Atazanavir and Cariprazine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: If starting cariprazine in a patient on atazanavir, use half the usual dose; if starting atazanavir in a patient on cariprazine, reduce the cariprazine dose by half (every other day if on 1.5 mg daily). Monitor for adverse effects for several weeks given the long half-life.

What other medicines interact with Cariprazine?

MediHelp also lists interactions of Cariprazine with, for example, Alfentanil, Amisulpride, Amobarbital. The full list is on the Cariprazine page.

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