相互作用
Aprepitant + Lemborexant
重症度: 重大
Aprepitant and Lemborexant: major interaction.
最終更新日
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概要
Aprepitant can raise lemborexant exposure through CYP3A4 inhibition. This may cause excess somnolence, next-day impairment and impaired driving ability.
この相互作用をわかりやすく説明すると
Aprepitant and Lemborexant 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.
Aprepitant belongs to Gastrointestinal Tract; Lemborexant belongs to Central Nervous System.
なぜ起こるのか
Aprepitant inhibits CYP3A4, reducing lemborexant clearance.
対処法
Avoid combining where possible as labeling advises against moderate CYP3A inhibitors. If unavoidable, use the lowest lemborexant dose (5 mg) and counsel about next-day sedation.
薬剤師に尋ねること
- 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?
Pro+会員向け
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アカウントを作成してPro+トライアルを始めると、AprepitantとLemborexantの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
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Aprepitantのその他の相互作用
Lemborexantのその他の相互作用
よくある質問
Can I take Aprepitant with Lemborexant?
MediHelp rates the interaction as major. Aprepitant and Lemborexant 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. Aprepitant can raise lemborexant exposure through CYP3A4 inhibition. This may cause excess somnolence, next-day impairment and impaired driving ability.
How serious is the interaction between Aprepitant and Lemborexant?
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 combining where possible as labeling advises against moderate CYP3A inhibitors. If unavoidable, use the lowest lemborexant dose (5 mg) and counsel about next-day sedation.
What other medicines interact with Aprepitant?
MediHelp also lists interactions of Aprepitant with, for example, Lomitapide, Pimozide, Avapritinib. The full list is on the Aprepitant page.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。
