相互作用
Aprepitant + Lomitapide
重症度: 併用禁忌
Aprepitant and Lomitapide: contraindicated interaction.
最終更新日
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概要
Lomitapide is a sensitive CYP3A4 substrate and moderate CYP3A4 inhibitors such as aprepitant can substantially raise its levels. This increases the risk of hepatotoxicity and gastrointestinal adverse effects.
この相互作用をわかりやすく説明すると
Aprepitant 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.
Aprepitant belongs to Gastrointestinal Tract; Lomitapide belongs to Cardiovascular.
なぜ起こるのか
Inhibition of CYP3A4-mediated lomitapide metabolism by aprepitant.
対処法
Avoid per lomitapide labeling, which contraindicates moderate and strong CYP3A4 inhibitors; use an antiemetic without CYP3A4 inhibition, such as ondansetron.
薬剤師に尋ねること
- 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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アカウントを作成してPro+トライアルを始めると、AprepitantとLomitapide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
Lomitapideのその他の相互作用
よくある質問
Can I take Aprepitant with Lomitapide?
MediHelp rates the interaction as contraindicated. Aprepitant 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 moderate CYP3A4 inhibitors such as aprepitant can substantially raise its levels. This increases the risk of hepatotoxicity and gastrointestinal adverse effects.
How serious is the interaction between Aprepitant 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 per lomitapide labeling, which contraindicates moderate and strong CYP3A4 inhibitors; use an antiemetic without CYP3A4 inhibition, such as ondansetron.
What other medicines interact with Aprepitant?
MediHelp also lists interactions of Aprepitant with, for example, Pimozide, Avapritinib, Bosutinib. 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。
