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Interactions médicamenteuses

Entecavir + Foscarnet

Gravité: Modérée

Entecavir and Foscarnet: moderate interaction.

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Résumé

Foscarnet is nephrotoxic and entecavir is eliminated mainly by the kidney, so reduced renal function could raise entecavir levels. Entecavir is also secreted by tubular transport, though a direct competition effect with foscarnet is not well documented.

Ce que signifie cette interaction, en termes simples

Entecavir and Foscarnet can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Entecavir belongs to Anti Virals; Foscarnet belongs to Anti Virals.

Niveau de preuve: Low

Pourquoi elle survient

Foscarnet-related renal impairment may reduce renal clearance of entecavir; competition for tubular secretion is possible but unproven.

Conduite à tenir

Monitor serum creatinine during foscarnet therapy and adjust the entecavir dose to creatinine clearance. Watch for entecavir adverse effects such as lactic acidosis if renal function falls.

Questions à poser à votre pharmacien

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Entecavir with Foscarnet?

MediHelp rates the interaction as moderate. Entecavir and Foscarnet can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Foscarnet is nephrotoxic and entecavir is eliminated mainly by the kidney, so reduced renal function could raise entecavir levels. Entecavir is also secreted by tubular transport, though a direct competition effect with foscarnet is not well documented.

How serious is the interaction between Entecavir and Foscarnet?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum creatinine during foscarnet therapy and adjust the entecavir dose to creatinine clearance. Watch for entecavir adverse effects such as lactic acidosis if renal function falls.

What other medicines interact with Foscarnet?

MediHelp also lists interactions of Foscarnet with, for example, Cidofovir, Pimozide, Thioridazine. The full list is on the Foscarnet page.

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