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Fluconazole + Mavacamten

شدت: منع مصرف

Fluconazole and Mavacamten: contraindicated interaction.

آخرین به‌روزرسانی

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محتوای بالینی این صفحه فقط به زبان انگلیسی موجود است.

خلاصه

Mavacamten is cleared mainly by CYP2C19, with a contribution from CYP3A4, and fluconazole inhibits both enzymes. Higher mavacamten exposure can excessively reduce ejection fraction and cause heart failure from systolic dysfunction. Labeling contraindicates moderate to strong CYP2C19 inhibitors.

معنای این تداخل به زبان ساده

Fluconazole and Mavacamten 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.

Fluconazole belongs to Anti Fungals; Mavacamten belongs to Cardiovascular.

سطح شواهد: High

چرا رخ می‌دهد

Fluconazole inhibits CYP2C19 and CYP3A4, reducing mavacamten clearance.

اقدام لازم

Do not combine them. If fluconazole is needed, interrupt mavacamten per labeling and monitor LVEF.

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 Fluconazole و Mavacamten، 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 Fluconazole with Mavacamten?

MediHelp rates the interaction as contraindicated. Fluconazole and Mavacamten 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. Mavacamten is cleared mainly by CYP2C19, with a contribution from CYP3A4, and fluconazole inhibits both enzymes. Higher mavacamten exposure can excessively reduce ejection fraction and cause heart failure from systolic dysfunction. Labeling contraindicates moderate to strong CYP2C19 inhibitors.

How serious is the interaction between Fluconazole and Mavacamten?

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 combine them. If fluconazole is needed, interrupt mavacamten per labeling and monitor LVEF.

What other medicines interact with Fluconazole?

MediHelp also lists interactions of Fluconazole with, for example, Dihydroergotamine intranasal, Dihydroergotamine, Dofetilide. The full list is on the Fluconazole page.

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