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Darunavir + Simvastatin

شدت: منع مصرف

Darunavir and Simvastatin: contraindicated interaction.

آخرین به‌روزرسانی

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محتوای بالینی این صفحه فقط به زبان انگلیسی موجود است.

خلاصه

Darunavir, usually given with ritonavir or cobicistat, substantially raises simvastatin concentrations and the risk of rhabdomyolysis. The combination is contraindicated in labeling.

معنای این تداخل به زبان ساده

Darunavir and Simvastatin are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Darunavir belongs to Anti Virals; Simvastatin belongs to Cardiovascular.

سطح شواهد: High

چرا رخ می‌دهد

Darunavir and its pharmacokinetic booster inhibit CYP3A4, blocking first-pass and hepatic metabolism of simvastatin.

اقدام لازم

Do not co-administer; stop simvastatin during darunavir therapy and use an alternative such as pravastatin or low-dose atorvastatin or rosuvastatin with monitoring.

از داروساز چه بپرسید

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Darunavir و Simvastatin، 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 Darunavir with Simvastatin?

MediHelp rates the interaction as contraindicated. Darunavir and Simvastatin are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Darunavir, usually given with ritonavir or cobicistat, substantially raises simvastatin concentrations and the risk of rhabdomyolysis. The combination is contraindicated in labeling.

How serious is the interaction between Darunavir and Simvastatin?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not co-administer; stop simvastatin during darunavir therapy and use an alternative such as pravastatin or low-dose atorvastatin or rosuvastatin with monitoring.

What other medicines interact with Simvastatin?

MediHelp also lists interactions of Simvastatin with, for example, Atazanavir, Clarithromycin, Cobicistat. The full list is on the Simvastatin page.

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