Interazioni tra farmaci
Daridorexant + Itraconazole
Gravità: Maggiore
Daridorexant and Itraconazole: major interaction.
Ultimo aggiornamento Fonti: UK SmPC
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Sintesi
Itraconazole substantially increases daridorexant exposure, which can cause excessive sedation, next-day somnolence and impaired psychomotor performance. Labeling advises against use with strong CYP3A4 inhibitors.
Cosa significa questa interazione in parole semplici
Daridorexant and Itraconazole 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.
Daridorexant belongs to Central Nervous System; Itraconazole belongs to Anti Fungals.
Perché avviene
Strong CYP3A4 inhibition reduces daridorexant metabolism.
Cosa fare
Avoid the combination and use an alternative antifungal or hypnotic. If an interacting course is unavoidable, do not drive and monitor for excessive sedation.
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 Itraconazole
- Alfuzosin + Itraconazole Controindicata
- Alprazolam + Itraconazole Controindicata
- Avanafil + Itraconazole Controindicata
- Conivaptan + Itraconazole Controindicata
- Dihydroergotamine intranasal + Itraconazole Controindicata
- Dihydroergotamine + Itraconazole Controindicata
Altre interazioni di Daridorexant
- Amobarbital + Daridorexant Maggiore
- Apalutamide + Daridorexant Maggiore
- Clarithromycin + Daridorexant Maggiore
- Daridorexant + Enzalutamide Maggiore
- Daridorexant + Fluvoxamine Maggiore
- Daridorexant + Ketoconazole Maggiore
Domande frequenti
Can I take Daridorexant with Itraconazole?
MediHelp rates the interaction as major. Daridorexant and Itraconazole 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. Itraconazole substantially increases daridorexant exposure, which can cause excessive sedation, next-day somnolence and impaired psychomotor performance. Labeling advises against use with strong CYP3A4 inhibitors.
How serious is the interaction between Daridorexant and Itraconazole?
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 an alternative antifungal or hypnotic. If an interacting course is unavoidable, do not drive and monitor for excessive sedation.
What other medicines interact with Itraconazole?
MediHelp also lists interactions of Itraconazole with, for example, Alfuzosin, Alprazolam, Avanafil. The full list is on the Itraconazole page.
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