Aller au contenu
MediHelp
MediHelp Référence médicamenteuse

Interactions médicamenteuses

Fluconazole + Mavacamten

Gravité: Contre-indiquée

Fluconazole and Mavacamten: contraindicated interaction.

Dernière mise à jour

Réservé aux professionnels de santé — à titre de référence uniquement. Cette page est un bref résumé, pas un avis médical, et ne remplace ni la notice officielle ni le jugement clinique. Vérifiez toujours avant de prescrire ou de délivrer.

Le contenu clinique de cette page n'est disponible qu'en anglais.

Résumé

Mavacamten is cleared mainly by CYP2C19, with a contribution from CYP3A4, and fluconazole inhibits both enzymes. Higher mavacamten exposure can excessively reduce ejection fraction and cause heart failure from systolic dysfunction. Labeling contraindicates moderate to strong CYP2C19 inhibitors.

Ce que signifie cette interaction, en termes simples

Fluconazole and Mavacamten 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.

Fluconazole belongs to Anti Fungals; Mavacamten belongs to Cardiovascular.

Niveau de preuve: High

Pourquoi elle survient

Fluconazole inhibits CYP2C19 and CYP3A4, reducing mavacamten clearance.

Conduite à tenir

Do not combine them. If fluconazole is needed, interrupt mavacamten per labeling and monitor LVEF.

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.

Réservé aux membres Pro+

Débloquer la page complète

Créez un compte et lancez un essai Pro+ pour débloquer les conseils complets de prise en charge pour Fluconazole et Mavacamten, les notes complémentaires, le détail des données probantes et le vérificateur d'interactions pour une ordonnance complète.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription
Créer un compte gratuit Se connecter

Essayez Pro+ gratuitement pendant 14 jours sur le web. Sans carte.

Questions fréquentes

Can I take Fluconazole with Mavacamten?

MediHelp rates the interaction as contraindicated. Fluconazole and Mavacamten 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. Mavacamten is cleared mainly by CYP2C19, with a contribution from CYP3A4, and fluconazole inhibits both enzymes. Higher mavacamten exposure can excessively reduce ejection fraction and cause heart failure from systolic dysfunction. Labeling contraindicates moderate to strong CYP2C19 inhibitors.

How serious is the interaction between Fluconazole and Mavacamten?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not combine them. If fluconazole is needed, interrupt mavacamten per labeling and monitor LVEF.

What other medicines interact with Fluconazole?

MediHelp also lists interactions of Fluconazole with, for example, Dihydroergotamine intranasal, Dihydroergotamine, Dofetilide. The full list is on the Fluconazole 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.

Télécharger surApp Store Disponible surGoogle Play

Parcourir de A à Z · Interactions médicamenteuses

Télécharger l'app Se connecter