Interazioni tra farmaci
Levoketoconazole + Ticagrelor
Gravità: Controindicata
Levoketoconazole and Ticagrelor: contraindicated interaction.
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Sintesi
Levoketoconazole is a strong CYP3A inhibitor and is expected to markedly increase ticagrelor exposure, raising bleeding risk. Strong CYP3A inhibitors such as ketoconazole are not recommended with ticagrelor.
Cosa significa questa interazione in parole semplici
Levoketoconazole and Ticagrelor 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.
Levoketoconazole belongs to Endocrine; Ticagrelor belongs to Cardiovascular.
Perché avviene
Strong CYP3A4 inhibition reduces ticagrelor clearance.
Cosa fare
Avoid the combination and choose an alternative antiplatelet. If antifungal or cortisol-lowering therapy is needed, consider an option without strong CYP3A inhibition.
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 Ticagrelor
- Itraconazole + Ticagrelor Controindicata
- Ketoconazole + Ticagrelor Controindicata
- Abciximab + Ticagrelor Maggiore
- Abrocitinib + Ticagrelor Maggiore
- Acalabrutinib + Ticagrelor Maggiore
- Acetylsalicylic acid + Ticagrelor Maggiore
Altre interazioni di Levoketoconazole
- Alfuzosin + Levoketoconazole Controindicata
- Alprazolam + Levoketoconazole Controindicata
- Amiodarone + Levoketoconazole Controindicata
- Avanafil + Levoketoconazole Controindicata
- Cisapride + Levoketoconazole Controindicata
- Clarithromycin + Levoketoconazole Controindicata
Domande frequenti
Can I take Levoketoconazole with Ticagrelor?
MediHelp rates the interaction as contraindicated. Levoketoconazole and Ticagrelor 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. Levoketoconazole is a strong CYP3A inhibitor and is expected to markedly increase ticagrelor exposure, raising bleeding risk. Strong CYP3A inhibitors such as ketoconazole are not recommended with ticagrelor.
How serious is the interaction between Levoketoconazole and Ticagrelor?
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 an alternative antiplatelet. If antifungal or cortisol-lowering therapy is needed, consider an option without strong CYP3A inhibition.
What other medicines interact with Ticagrelor?
MediHelp also lists interactions of Ticagrelor with, for example, Itraconazole, Ketoconazole, Abciximab. The full list is on the Ticagrelor page.
Monografie complete, posologie e verifica delle interazioni nell'app MediHelp
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