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Interazioni tra farmaci

Avanafil + Duvelisib

Gravità: Maggiore

Avanafil and Duvelisib: major interaction.

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Sintesi

Duvelisib inhibits CYP3A4 and may increase avanafil exposure, raising the risk of hypotension, headache, flushing and priapism. Avanafil is a sensitive CYP3A4 substrate, so the effect may be substantial.

Cosa significa questa interazione in parole semplici

Avanafil and Duvelisib 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.

Avanafil belongs to Genitourinary; Duvelisib belongs to Oncology.

Livello di evidenza: Moderate

Perché avviene

Duvelisib inhibits CYP3A4, decreasing avanafil metabolism.

Cosa fare

Use the lowest effective avanafil dose, not exceeding labeled limits for CYP3A4 inhibitors, and monitor blood pressure. Consider an alternative if tolerability is poor.

Cosa chiedere al farmacista

  • 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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Domande frequenti

Can I take Avanafil with Duvelisib?

MediHelp rates the interaction as major. Avanafil and Duvelisib 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. Duvelisib inhibits CYP3A4 and may increase avanafil exposure, raising the risk of hypotension, headache, flushing and priapism. Avanafil is a sensitive CYP3A4 substrate, so the effect may be substantial.

How serious is the interaction between Avanafil and Duvelisib?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective avanafil dose, not exceeding labeled limits for CYP3A4 inhibitors, and monitor blood pressure. Consider an alternative if tolerability is poor.

What other medicines interact with Avanafil?

MediHelp also lists interactions of Avanafil with, for example, Amyl nitrite, Atazanavir, Clarithromycin. The full list is on the Avanafil page.

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