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Interactions médicamenteuses

Eletriptan + Lopinavir

Gravité: Contre-indiquée

Eletriptan and Lopinavir: contraindicated interaction.

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Résumé

Lopinavir is boosted with ritonavir, a strong CYP3A4 inhibitor, which markedly increases eletriptan exposure. This raises the risk of serious vasoconstrictive cardiovascular and cerebrovascular events.

Ce que signifie cette interaction, en termes simples

Eletriptan and Lopinavir 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.

Eletriptan belongs to Central Nervous System; Lopinavir belongs to Anti Virals.

Niveau de preuve: High

Pourquoi elle survient

CYP3A4 inhibition (mainly by the ritonavir component) reducing eletriptan clearance.

Conduite à tenir

Avoid eletriptan during and for about 72 hours after lopinavir/ritonavir. Use an alternative triptan such as rizatriptan with attention to cardiovascular risk.

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 Eletriptan with Lopinavir?

MediHelp rates the interaction as contraindicated. Eletriptan and Lopinavir 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. Lopinavir is boosted with ritonavir, a strong CYP3A4 inhibitor, which markedly increases eletriptan exposure. This raises the risk of serious vasoconstrictive cardiovascular and cerebrovascular events.

How serious is the interaction between Eletriptan and Lopinavir?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid eletriptan during and for about 72 hours after lopinavir/ritonavir. Use an alternative triptan such as rizatriptan with attention to cardiovascular risk.

What other medicines interact with Eletriptan?

MediHelp also lists interactions of Eletriptan with, for example, Almotriptan, Atazanavir, Ceritinib. The full list is on the Eletriptan page.

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