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Interactions médicamenteuses

Atazanavir + Eplerenone

Gravité: Contre-indiquée

Atazanavir and Eplerenone: contraindicated interaction.

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Résumé

Atazanavir is a strong CYP3A4 inhibitor, and eplerenone is a sensitive CYP3A4 substrate. Eplerenone exposure can rise markedly, increasing the risk of hyperkalemia. Labeling contraindicates eplerenone with strong CYP3A4 inhibitors.

Ce que signifie cette interaction, en termes simples

Atazanavir and Eplerenone 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.

Atazanavir belongs to Anti Virals; Eplerenone belongs to Cardiovascular.

Niveau de preuve: High

Pourquoi elle survient

Strong CYP3A4 inhibition by atazanavir reducing eplerenone metabolism.

Conduite à tenir

Do not combine; choose a different antiretroviral or a different mineralocorticoid antagonist such as spironolactone with potassium monitoring.

Questions à poser à votre pharmacien

  • 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.

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Questions fréquentes

Can I take Atazanavir with Eplerenone?

MediHelp rates the interaction as contraindicated. Atazanavir and Eplerenone 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. Atazanavir is a strong CYP3A4 inhibitor, and eplerenone is a sensitive CYP3A4 substrate. Eplerenone exposure can rise markedly, increasing the risk of hyperkalemia. Labeling contraindicates eplerenone with strong CYP3A4 inhibitors.

How serious is the interaction between Atazanavir and Eplerenone?

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; choose a different antiretroviral or a different mineralocorticoid antagonist such as spironolactone with potassium monitoring.

What other medicines interact with Eplerenone?

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

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Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.

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