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Interazioni tra farmaci

Bictegravir + Ferrous gluconate

Gravità: Moderata

Bictegravir and Ferrous gluconate: moderate interaction.

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Sintesi

Iron binds bictegravir in the gut and can lower its exposure when taken fasting. Reduced levels may lead to loss of HIV virologic suppression or resistance.

Cosa significa questa interazione in parole semplici

Bictegravir and Ferrous gluconate 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.

Livello di evidenza: High

Perché avviene

Iron cations chelate bictegravir in the gastrointestinal tract, reducing absorption.

Cosa fare

Take bictegravir and iron together with food, or take bictegravir at least 2 hours before iron when fasting. Do not take iron within 2 hours before bictegravir on an empty stomach.

Cosa chiedere al farmacista

  • 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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Domande frequenti

Can I take Bictegravir with Ferrous gluconate?

MediHelp rates the interaction as moderate. Bictegravir and Ferrous gluconate 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. Iron binds bictegravir in the gut and can lower its exposure when taken fasting. Reduced levels may lead to loss of HIV virologic suppression or resistance.

How serious is the interaction between Bictegravir and Ferrous gluconate?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Take bictegravir and iron together with food, or take bictegravir at least 2 hours before iron when fasting. Do not take iron within 2 hours before bictegravir on an empty stomach.

What other medicines interact with Ferrous gluconate?

MediHelp also lists interactions of Ferrous gluconate with, for example, Ciprofloxacin, Acetohydroxamic acid, Aluminum hydroxide. The full list is on the Ferrous gluconate page.

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