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تداخل‌های دارویی

Doravirine + Mitotane

شدت: منع مصرف

Doravirine and Mitotane: contraindicated interaction.

آخرین به‌روزرسانی

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خلاصه

Mitotane is a long-acting enzyme inducer and is expected to reduce doravirine levels substantially. The induction can persist for weeks after mitotane is stopped, creating a risk of virologic failure.

معنای این تداخل به زبان ساده

Doravirine and Mitotane 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.

Doravirine belongs to Anti Virals; Mitotane belongs to Oncology.

سطح شواهد: Moderate

چرا رخ می‌دهد

Mitotane induces CYP3A4, increasing doravirine metabolism.

اقدام لازم

Avoid coadministration and choose an antiretroviral regimen not dependent on CYP3A. Allow for an extended washout of mitotane before using doravirine.

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 Doravirine و Mitotane، 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 Doravirine with Mitotane?

MediHelp rates the interaction as contraindicated. Doravirine and Mitotane 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. Mitotane is a long-acting enzyme inducer and is expected to reduce doravirine levels substantially. The induction can persist for weeks after mitotane is stopped, creating a risk of virologic failure.

How serious is the interaction between Doravirine and Mitotane?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid coadministration and choose an antiretroviral regimen not dependent on CYP3A. Allow for an extended washout of mitotane before using doravirine.

What other medicines interact with Doravirine?

MediHelp also lists interactions of Doravirine with, for example, Amobarbital, Apalutamide, Carbamazepine. The full list is on the Doravirine page.

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