تداخل‌های دارویی
Bromocriptine + Cobicistat
شدت: شدید
Bromocriptine and Cobicistat: major interaction.
آخرین به‌روزرسانی
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خلاصه
Cobicistat is a strong CYP3A4 inhibitor and may considerably raise bromocriptine exposure. This can cause nausea, hypotension, syncope and other dopaminergic effects, and ergot-related toxicity is a concern with potent CYP3A4 inhibitors.
معنای این تداخل به زبان ساده
Bromocriptine and Cobicistat 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.
Bromocriptine belongs to Central Nervous System; Cobicistat belongs to Miscellaneous.
چرا رخ می‌دهد
Inhibition of CYP3A4-mediated bromocriptine metabolism by cobicistat.
اقدام لازم
Start with a low bromocriptine dose and titrate carefully, or choose an alternative dopamine agonist. Monitor blood pressure and for signs of ergot toxicity.
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?
ویژه اعضای Pro+
باز کردن کل صفحه
یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیه‌های کامل مدیریت Bromocriptine و Cobicistat، 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.
تداخلات دیگر Bromocriptine
تداخلات دیگر Cobicistat
- Alfuzosin + Cobicistat منع مصرف
- Apalutamide + Cobicistat منع مصرف
- Cobicistat + Colchicine منع مصرف
- Cobicistat + Dronedarone منع مصرف
- Cobicistat + Eletriptan منع مصرف
- Cobicistat + Eplerenone منع مصرف
پرسش‌های متداول
Can I take Bromocriptine with Cobicistat?
MediHelp rates the interaction as major. Bromocriptine and Cobicistat 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. Cobicistat is a strong CYP3A4 inhibitor and may considerably raise bromocriptine exposure. This can cause nausea, hypotension, syncope and other dopaminergic effects, and ergot-related toxicity is a concern with potent CYP3A4 inhibitors.
How serious is the interaction between Bromocriptine and Cobicistat?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Start with a low bromocriptine dose and titrate carefully, or choose an alternative dopamine agonist. Monitor blood pressure and for signs of ergot toxicity.
What other medicines interact with Bromocriptine?
MediHelp also lists interactions of Bromocriptine with, for example, Amisulpride, Atazanavir, Darunavir. The full list is on the Bromocriptine page.
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