Interactions médicamenteuses
Didanosine + Valganciclovir
Gravité: Majeure
Didanosine and Valganciclovir: major interaction.
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Résumé
Valganciclovir is converted to ganciclovir, which can raise didanosine exposure and add to the toxicity of didanosine, including pancreatitis, neuropathy and cytopenias. Co-administration therefore carries an increased risk of serious adverse effects.
Ce que signifie cette interaction, en termes simples
Didanosine and Valganciclovir 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.
Didanosine belongs to Anti Virals; Valganciclovir belongs to Anti Virals.
Pourquoi elle survient
Ganciclovir increases didanosine exposure through a pharmacokinetic effect and adds to its toxicity; hematologic effects are additive.
Conduite à tenir
Avoid the combination where alternatives exist. If used, monitor for pancreatitis, neuropathy and blood count changes, and reduce the didanosine dose as per labeling.
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?
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Autres interactions de Valganciclovir
Autres interactions de Didanosine
- Didanosine + Elvitegravir / cobicistat / emtricitabine / tenofovir df Contre-indiquée
- Didanosine + Hydroxycarbamide Contre-indiquée
- Didanosine + Hydroxyurea Contre-indiquée
- Didanosine + Ribavirin Contre-indiquée
- Didanosine + Stavudine Contre-indiquée
- Allopurinol + Didanosine Majeure
Questions fréquentes
Can I take Didanosine with Valganciclovir?
MediHelp rates the interaction as major. Didanosine and Valganciclovir 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. Valganciclovir is converted to ganciclovir, which can raise didanosine exposure and add to the toxicity of didanosine, including pancreatitis, neuropathy and cytopenias. Co-administration therefore carries an increased risk of serious adverse effects.
How serious is the interaction between Didanosine and Valganciclovir?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where alternatives exist. If used, monitor for pancreatitis, neuropathy and blood count changes, and reduce the didanosine dose as per labeling.
What other medicines interact with Valganciclovir?
MediHelp also lists interactions of Valganciclovir with, for example, Ganciclovir, Liposomal doxorubicin, Maribavir. The full list is on the Valganciclovir 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.
