Interazioni tra farmaci
Clarithromycin + Daridorexant
Gravità: Maggiore
Clarithromycin and Daridorexant: major interaction.
Ultimo aggiornamento Fonti: UK SmPC
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Sintesi
Strong CYP3A4 inhibitors markedly increase daridorexant exposure, causing excessive sedation, next-day somnolence and impaired psychomotor performance. Labeling advises against combining daridorexant with strong CYP3A4 inhibitors.
Cosa significa questa interazione in parole semplici
Clarithromycin and Daridorexant 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.
Clarithromycin belongs to Anti Bacterial; Daridorexant belongs to Central Nervous System.
Perché avviene
Clarithromycin is a strong CYP3A4 inhibitor and reduces the main clearance pathway of daridorexant.
Cosa fare
Avoid the combination and use a non-interacting antibiotic such as azithromycin. If a short course of clarithromycin is essential, withhold daridorexant during treatment.
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?
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Riferimenti
Altre interazioni di Clarithromycin
- Astemizole + Clarithromycin Controindicata
- Avanafil + Clarithromycin Controindicata
- Cisapride + Clarithromycin Controindicata
- Clarithromycin + Colchicine Controindicata
- Clarithromycin + Conivaptan Controindicata
- Clarithromycin + Dihydroergotamine Controindicata
Altre interazioni di Daridorexant
- Amobarbital + Daridorexant Maggiore
- Apalutamide + Daridorexant Maggiore
- Daridorexant + Enzalutamide Maggiore
- Daridorexant + Fluvoxamine Maggiore
- Daridorexant + Itraconazole Maggiore
- Daridorexant + Ketoconazole Maggiore
Domande frequenti
Can I take Clarithromycin with Daridorexant?
MediHelp rates the interaction as major. Clarithromycin and Daridorexant 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. Strong CYP3A4 inhibitors markedly increase daridorexant exposure, causing excessive sedation, next-day somnolence and impaired psychomotor performance. Labeling advises against combining daridorexant with strong CYP3A4 inhibitors.
How serious is the interaction between Clarithromycin and Daridorexant?
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 the combination and use a non-interacting antibiotic such as azithromycin. If a short course of clarithromycin is essential, withhold daridorexant during treatment.
What other medicines interact with Clarithromycin?
MediHelp also lists interactions of Clarithromycin with, for example, Astemizole, Avanafil, Cisapride. The full list is on the Clarithromycin page.
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