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Lomitapide + Micafungin

شدت: متوسط

Lomitapide and Micafungin: moderate interaction.

آخرین به‌روزرسانی

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خلاصه

Lomitapide is highly dependent on CYP3A4 for clearance and its exposure rises markedly with inhibitors. Micafungin is only a weak inhibitor, so the effect is likely small, but increased lomitapide could worsen hepatotoxicity and gastrointestinal effects.

معنای این تداخل به زبان ساده

Lomitapide and Micafungin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Lomitapide belongs to Cardiovascular; Micafungin belongs to Anti Fungals.

سطح شواهد: Low

چرا رخ می‌دهد

Possible weak inhibition of CYP3A4-mediated lomitapide metabolism by micafungin.

اقدام لازم

Monitor liver enzymes and tolerability; keep the lomitapide dose within labeled limits for use with weak CYP3A4 inhibitors.

از داروساز چه بپرسید

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Lomitapide و Micafungin، 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 Lomitapide with Micafungin?

MediHelp rates the interaction as moderate. Lomitapide and Micafungin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Lomitapide is highly dependent on CYP3A4 for clearance and its exposure rises markedly with inhibitors. Micafungin is only a weak inhibitor, so the effect is likely small, but increased lomitapide could worsen hepatotoxicity and gastrointestinal effects.

How serious is the interaction between Lomitapide and Micafungin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor liver enzymes and tolerability; keep the lomitapide dose within labeled limits for use with weak CYP3A4 inhibitors.

What other medicines interact with Micafungin?

MediHelp also lists interactions of Micafungin with, for example, Saccharomyces boulardii, Sirolimus, Avapritinib. The full list is on the Micafungin page.

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