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Interactions médicamenteuses

Drospirenone + Ivosidenib

Gravité: Majeure

Drospirenone and Ivosidenib: major interaction.

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Résumé

Ivosidenib is a CYP3A4 inducer and may lower hormonal contraceptive exposure, including drospirenone, reducing contraceptive efficacy. The legacy direction is wrong.

Ce que signifie cette interaction, en termes simples

Drospirenone and Ivosidenib 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.

Drospirenone belongs to Endocrine; Ivosidenib belongs to Oncology.

Niveau de preuve: Moderate

Pourquoi elle survient

Ivosidenib induces CYP3A4, increasing the metabolism of drospirenone and lowering its concentrations.

Conduite à tenir

Advise an additional or alternative non-hormonal contraceptive method during ivosidenib treatment and for a period after stopping.

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 Drospirenone with Ivosidenib?

MediHelp rates the interaction as major. Drospirenone and Ivosidenib 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. Ivosidenib is a CYP3A4 inducer and may lower hormonal contraceptive exposure, including drospirenone, reducing contraceptive efficacy. The legacy direction is wrong.

How serious is the interaction between Drospirenone and Ivosidenib?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise an additional or alternative non-hormonal contraceptive method during ivosidenib treatment and for a period after stopping.

What other medicines interact with Drospirenone?

MediHelp also lists interactions of Drospirenone with, for example, Belzutifan, Bosentan, Carbamazepine. The full list is on the Drospirenone 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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