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Methylprednisolone + Mifepristone

Gravità: Controindicata

Methylprednisolone and Mifepristone: contraindicated interaction.

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Sintesi

Mifepristone is a glucocorticoid receptor antagonist and can blunt the effect of corticosteroids. In patients on long-term corticosteroids it may cause adrenal insufficiency or loss of disease control, and labeling lists chronic corticosteroid therapy as a contraindication.

Cosa significa questa interazione in parole semplici

Methylprednisolone and Mifepristone 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.

Methylprednisolone belongs to Endocrine; Mifepristone belongs to Endocrine.

Livello di evidenza: Moderate

Perché avviene

Mifepristone blocks glucocorticoid receptors, opposing the effect of methylprednisolone.

Cosa fare

Do not use mifepristone in patients on long-term corticosteroid therapy. Seek specialist advice if both are required, as usual steroid doses may be ineffective.

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 Methylprednisolone with Mifepristone?

MediHelp rates the interaction as contraindicated. Methylprednisolone and Mifepristone 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. Mifepristone is a glucocorticoid receptor antagonist and can blunt the effect of corticosteroids. In patients on long-term corticosteroids it may cause adrenal insufficiency or loss of disease control, and labeling lists chronic corticosteroid therapy as a contraindication.

How serious is the interaction between Methylprednisolone and Mifepristone?

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 mifepristone in patients on long-term corticosteroid therapy. Seek specialist advice if both are required, as usual steroid doses may be ineffective.

What other medicines interact with Methylprednisolone?

MediHelp also lists interactions of Methylprednisolone with, for example, Bcg vaccine live, Measles mumps and rubella vaccine live, Measles mumps rubella and varicella vaccine live. The full list is on the Methylprednisolone page.

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