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Interactions médicamenteuses

Berotralstat + Tacrolimus

Gravité: Majeure

Berotralstat and Tacrolimus: major interaction.

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Résumé

Berotralstat inhibits P-gp and CYP3A4 and may raise tacrolimus concentrations. Because tacrolimus has a narrow therapeutic index, toxicity such as nephrotoxicity may result.

Ce que signifie cette interaction, en termes simples

Berotralstat and Tacrolimus can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Berotralstat belongs to Miscellaneous; Tacrolimus belongs to Miscellaneous.

Niveau de preuve: Moderate

Pourquoi elle survient

Inhibition of P-glycoprotein and CYP3A4 reduces tacrolimus efflux and metabolism.

Conduite à tenir

Monitor tacrolimus trough concentrations and renal function when starting or stopping berotralstat, and reduce the tacrolimus dose as needed.

Questions à poser à votre pharmacien

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Berotralstat with Tacrolimus?

MediHelp rates the interaction as major. Berotralstat and Tacrolimus can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Berotralstat inhibits P-gp and CYP3A4 and may raise tacrolimus concentrations. Because tacrolimus has a narrow therapeutic index, toxicity such as nephrotoxicity may result.

How serious is the interaction between Berotralstat and Tacrolimus?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor tacrolimus trough concentrations and renal function when starting or stopping berotralstat, and reduce the tacrolimus dose as needed.

What other medicines interact with Tacrolimus?

MediHelp also lists interactions of Tacrolimus with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Cidofovir. The full list is on the Tacrolimus page.

Monographies complètes, posologies et vérificateur d'interactions dans l'application MediHelp

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

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