Interazioni tra farmaci
Efavirenz + Lomitapide
Gravità: Controindicata
Efavirenz and Lomitapide: contraindicated interaction.
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Sintesi
Lomitapide is a sensitive CYP3A4 substrate and exposure can rise markedly with interacting drugs, increasing hepatotoxicity and gastrointestinal adverse effects. Efavirenz is a mixed CYP3A4 modulator and the net effect is uncertain, but the label restricts such combinations.
Cosa significa questa interazione in parole semplici
Efavirenz and Lomitapide 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.
Efavirenz belongs to Anti Virals; Lomitapide belongs to Cardiovascular.
Perché avviene
Efavirenz modulation of CYP3A4 alters lomitapide metabolism, with potential for increased exposure.
Cosa fare
Avoid the combination and choose a different lipid-lowering strategy or antiretroviral. If lomitapide is essential, monitor liver enzymes closely.
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 Efavirenz
- Cobimetinib + Efavirenz Controindicata
- Dienogest / estradiol valerate + Efavirenz Controindicata
- Dihydroergotamine intranasal + Efavirenz Controindicata
- Dihydroergotamine + Efavirenz Controindicata
- Doravirine + Efavirenz Controindicata
- Efavirenz + Elbasvir / grazoprevir Controindicata
Altre interazioni di Lomitapide
- Aprepitant + Lomitapide Controindicata
- Clarithromycin + Lomitapide Controindicata
- Crizotinib + Lomitapide Controindicata
- Diltiazem + Lomitapide Controindicata
- Ensitrelvir + Lomitapide Controindicata
- Erythromycin + Lomitapide Controindicata
Domande frequenti
Can I take Efavirenz with Lomitapide?
MediHelp rates the interaction as contraindicated. Efavirenz and Lomitapide 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. Lomitapide is a sensitive CYP3A4 substrate and exposure can rise markedly with interacting drugs, increasing hepatotoxicity and gastrointestinal adverse effects. Efavirenz is a mixed CYP3A4 modulator and the net effect is uncertain, but the label restricts such combinations.
How serious is the interaction between Efavirenz and Lomitapide?
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 the combination and choose a different lipid-lowering strategy or antiretroviral. If lomitapide is essential, monitor liver enzymes closely.
What other medicines interact with Efavirenz?
MediHelp also lists interactions of Efavirenz with, for example, Cobimetinib, Dienogest / estradiol valerate, Dihydroergotamine intranasal. The full list is on the Efavirenz page.
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