Interactions médicamenteuses
Ketoconazole + Ospemifene
Gravité: Majeure
Ketoconazole and Ospemifene: major 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
Ketoconazole raises ospemifene exposure markedly in pharmacokinetic studies, which may increase estrogen-agonist adverse effects including venous thromboembolism and endometrial effects.
Ce que signifie cette interaction, en termes simples
Ketoconazole and Ospemifene 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.
Ketoconazole belongs to Anti Fungals; Ospemifene belongs to Endocrine.
Pourquoi elle survient
Ketoconazole inhibits CYP3A4 (and CYP2C9 contribution) metabolism of ospemifene.
Conduite à tenir
Avoid long-term co-administration with strong CYP3A4 inhibitors; if short-term use is unavoidable, monitor for thromboembolic and other adverse effects.
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?
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 Ketoconazole et Ospemifene, 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 Ketoconazole
- Alfuzosin + Ketoconazole Contre-indiquée
- Alprazolam + Ketoconazole Contre-indiquée
- Avanafil + Ketoconazole Contre-indiquée
- Conivaptan + Ketoconazole Contre-indiquée
- Dihydroergotamine intranasal + Ketoconazole Contre-indiquée
- Dihydroergotamine + Ketoconazole Contre-indiquée
Autres interactions de Ospemifene
- Bazedoxifene-conjugated estrogens + Ospemifene Contre-indiquée
- Estradiol + Ospemifene Contre-indiquée
- Clomiphene + Ospemifene Majeure
- Fluconazole + Ospemifene Majeure
- Ospemifene + Raloxifene Majeure
- Ospemifene + Rifampicin Majeure
Questions fréquentes
Can I take Ketoconazole with Ospemifene?
MediHelp rates the interaction as major. Ketoconazole and Ospemifene 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. Ketoconazole raises ospemifene exposure markedly in pharmacokinetic studies, which may increase estrogen-agonist adverse effects including venous thromboembolism and endometrial effects.
How serious is the interaction between Ketoconazole and Ospemifene?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid long-term co-administration with strong CYP3A4 inhibitors; if short-term use is unavoidable, monitor for thromboembolic and other adverse effects.
What other medicines interact with Ketoconazole?
MediHelp also lists interactions of Ketoconazole with, for example, Alfuzosin, Alprazolam, Avanafil. The full list is on the Ketoconazole 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.
