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Interazioni tra farmaci

Colchicine + Tipranavir

Gravità: Controindicata

Colchicine and Tipranavir: contraindicated interaction.

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Sintesi

Tipranavir, given with ritonavir, inhibits CYP3A4 and P-glycoprotein and can substantially increase colchicine concentrations. This raises the risk of severe or fatal colchicine toxicity, especially in renal or hepatic impairment.

Cosa significa questa interazione in parole semplici

Colchicine and Tipranavir 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.

Colchicine belongs to Genitourinary; Tipranavir belongs to Anti Virals.

Livello di evidenza: Moderate

Perché avviene

Ritonavir-boosted tipranavir inhibits CYP3A4 and P-glycoprotein, decreasing colchicine clearance.

Cosa fare

Avoid in patients with renal or hepatic impairment. Otherwise use an alternative if possible, or reduce the colchicine dose per labeling and monitor closely for toxicity.

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?

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 Colchicine with Tipranavir?

MediHelp rates the interaction as contraindicated. Colchicine and Tipranavir 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. Tipranavir, given with ritonavir, inhibits CYP3A4 and P-glycoprotein and can substantially increase colchicine concentrations. This raises the risk of severe or fatal colchicine toxicity, especially in renal or hepatic impairment.

How serious is the interaction between Colchicine and Tipranavir?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid in patients with renal or hepatic impairment. Otherwise use an alternative if possible, or reduce the colchicine dose per labeling and monitor closely for toxicity.

What other medicines interact with Colchicine?

MediHelp also lists interactions of Colchicine with, for example, Clarithromycin, Cobicistat, Cyclosporine. The full list is on the Colchicine page.

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