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تداخل‌های دارویی

Dexamethasone + Rilpivirine

شدت: منع مصرف

Dexamethasone and Rilpivirine: contraindicated interaction.

آخرین به‌روزرسانی

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خلاصه

Rilpivirine is a CYP3A4 substrate, and repeated dexamethasone dosing may reduce its concentrations, raising the risk of virologic failure and NNRTI resistance. Single-dose dexamethasone is not a concern.

معنای این تداخل به زبان ساده

Dexamethasone and Rilpivirine 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.

Dexamethasone belongs to Endocrine; Rilpivirine belongs to Anti Virals.

سطح شواهد: High

چرا رخ می‌دهد

Dexamethasone induces CYP3A4, increasing rilpivirine clearance.

اقدام لازم

Do not use more than a single dose of systemic dexamethasone with rilpivirine; select an alternative corticosteroid or antiretroviral for longer courses.

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 Dexamethasone و Rilpivirine، 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 Dexamethasone with Rilpivirine?

MediHelp rates the interaction as contraindicated. Dexamethasone and Rilpivirine 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. Rilpivirine is a CYP3A4 substrate, and repeated dexamethasone dosing may reduce its concentrations, raising the risk of virologic failure and NNRTI resistance. Single-dose dexamethasone is not a concern.

How serious is the interaction between Dexamethasone and Rilpivirine?

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 use more than a single dose of systemic dexamethasone with rilpivirine; select an alternative corticosteroid or antiretroviral for longer courses.

What other medicines interact with Dexamethasone?

MediHelp also lists interactions of Dexamethasone with, for example, Bcg vaccine live, Mifepristone, Smallpox vaccine live. The full list is on the Dexamethasone page.

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