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تداخل‌های دارویی

Bosentan + Drospirenone

شدت: شدید

Bosentan and Drospirenone: major interaction.

آخرین به‌روزرسانی

ویژه کادر درمان — فقط جهت مرجع. این صفحه خلاصه‌ای کوتاه است، توصیه پزشکی نیست و جایگزین بروشور رسمی یا قضاوت بالینی نمی‌شود. پیش از تجویز یا تحویل دارو همیشه بررسی کنید.

محتوای بالینی این صفحه فقط به زبان انگلیسی موجود است.

خلاصه

Bosentan induces CYP3A4 and can lower hormonal contraceptive exposure, reducing contraceptive reliability. This is the opposite of the legacy direction, and drospirenone does not meaningfully affect bosentan.

معنای این تداخل به زبان ساده

Bosentan and Drospirenone 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.

Bosentan belongs to Miscellaneous; Drospirenone belongs to Endocrine.

سطح شواهد: Moderate

چرا رخ می‌دهد

Bosentan induces CYP3A4, increasing the metabolism of drospirenone and other contraceptive steroids.

اقدام لازم

Do not rely on hormonal contraception alone during bosentan therapy; add or switch to a reliable non-hormonal method such as an intrauterine device or use dual methods.

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 Bosentan و Drospirenone، 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 ۷ روز رایگان در وب امتحان کنید. بدون نیاز به کارت.

پرسش‌های متداول

Can I take Bosentan with Drospirenone?

MediHelp rates the interaction as major. Bosentan and Drospirenone 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. Bosentan induces CYP3A4 and can lower hormonal contraceptive exposure, reducing contraceptive reliability. This is the opposite of the legacy direction, and drospirenone does not meaningfully affect bosentan.

How serious is the interaction between Bosentan and Drospirenone?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not rely on hormonal contraception alone during bosentan therapy; add or switch to a reliable non-hormonal method such as an intrauterine device or use dual methods.

What other medicines interact with Drospirenone?

MediHelp also lists interactions of Drospirenone with, for example, Belzutifan, Carbamazepine, Eplerenone. The full list is on the Drospirenone page.

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