Interazioni tra farmaci
Cobicistat + Ranolazine
Gravità: Controindicata
Cobicistat and Ranolazine: contraindicated interaction.
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Sintesi
Cobicistat strongly inhibits CYP3A4 and markedly raises ranolazine concentrations. This increases dose-related QT prolongation and other adverse effects, and strong CYP3A inhibitors are contraindicated with ranolazine.
Cosa significa questa interazione in parole semplici
Cobicistat and Ranolazine 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.
Cobicistat belongs to Miscellaneous; Ranolazine belongs to Cardiovascular.
Perché avviene
Potent CYP3A4 inhibition by cobicistat reduces ranolazine clearance.
Cosa fare
Do not use together. Use an alternative antianginal for patients who need a cobicistat-boosted regimen.
Cosa chiedere al farmacista
- 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?
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Altre interazioni di Ranolazine
- Adagrasib + Ranolazine Controindicata
- Amobarbital + Ranolazine Controindicata
- Apalutamide + Ranolazine Controindicata
- Butabarbital + Ranolazine Controindicata
- Carbamazepine + Ranolazine Controindicata
- Clarithromycin + Ranolazine Controindicata
Altre interazioni di Cobicistat
- Alfuzosin + Cobicistat Controindicata
- Apalutamide + Cobicistat Controindicata
- Cobicistat + Colchicine Controindicata
- Cobicistat + Dronedarone Controindicata
- Cobicistat + Eletriptan Controindicata
- Cobicistat + Eplerenone Controindicata
Domande frequenti
Can I take Cobicistat with Ranolazine?
MediHelp rates the interaction as contraindicated. Cobicistat and Ranolazine 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. Cobicistat strongly inhibits CYP3A4 and markedly raises ranolazine concentrations. This increases dose-related QT prolongation and other adverse effects, and strong CYP3A inhibitors are contraindicated with ranolazine.
How serious is the interaction between Cobicistat and Ranolazine?
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. Use an alternative antianginal for patients who need a cobicistat-boosted regimen.
What other medicines interact with Ranolazine?
MediHelp also lists interactions of Ranolazine with, for example, Adagrasib, Amobarbital, Apalutamide. The full list is on the Ranolazine page.
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