Interactions médicamenteuses
Gemfibrozil + Ombitasvir / paritaprevir / ritonavir and dasabuvir
Gravité: Contre-indiquée
Gemfibrozil and Ombitasvir / paritaprevir / ritonavir and dasabuvir: 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
Gemfibrozil strongly inhibits CYP2C8, which is the main route of dasabuvir clearance. Dasabuvir concentrations rise several-fold, raising concern for QT prolongation. The combination is contraindicated in labeling.
Ce que signifie cette interaction, en termes simples
Gemfibrozil and Ombitasvir / paritaprevir / ritonavir and dasabuvir 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.
Pourquoi elle survient
Gemfibrozil and its glucuronide inhibit CYP2C8-mediated metabolism of dasabuvir, markedly increasing its plasma levels.
Conduite à tenir
Do not use together. Switch to a different lipid-lowering drug, such as fenofibrate or a statin, before starting the antiviral regimen.
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?
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 Gemfibrozil et Ombitasvir / paritaprevir / ritonavir and dasabuvir, 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
Essayez Pro+ gratuitement pendant 14 jours sur le web. Sans carte.
Autres interactions de Gemfibrozil
- Daprodustat + Gemfibrozil Contre-indiquée
- Elagolix + Gemfibrozil Contre-indiquée
- Gemfibrozil + Mavacamten Contre-indiquée
- Gemfibrozil + Metformin-repaglinide Contre-indiquée
- Gemfibrozil + Repaglinide Contre-indiquée
- Gemfibrozil + Selexipag Contre-indiquée
Questions fréquentes
Can I take Gemfibrozil with Ombitasvir / paritaprevir / ritonavir and dasabuvir?
MediHelp rates the interaction as contraindicated. Gemfibrozil and Ombitasvir / paritaprevir / ritonavir and dasabuvir 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. Gemfibrozil strongly inhibits CYP2C8, which is the main route of dasabuvir clearance. Dasabuvir concentrations rise several-fold, raising concern for QT prolongation. The combination is contraindicated in labeling.
How serious is the interaction between Gemfibrozil and Ombitasvir / paritaprevir / ritonavir and dasabuvir?
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 use together. Switch to a different lipid-lowering drug, such as fenofibrate or a statin, before starting the antiviral regimen.
What other medicines interact with Gemfibrozil?
MediHelp also lists interactions of Gemfibrozil with, for example, Daprodustat, Elagolix, Mavacamten. The full list is on the Gemfibrozil 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.
