相互作用
Avatrombopag + Fluconazole
重症度: 中等度
Avatrombopag and Fluconazole: moderate interaction.
最終更新日
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
概要
Fluconazole inhibits both CYP2C9 and CYP3A4, which metabolize avatrombopag, so exposure rises. Increased platelet response may raise the risk of excessive platelet counts and thrombotic events.
この相互作用をわかりやすく説明すると
Avatrombopag and Fluconazole can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Avatrombopag belongs to Miscellaneous; Fluconazole belongs to Anti Fungals.
なぜ起こるのか
Dual inhibition of CYP2C9 and CYP3A4 reduces avatrombopag clearance.
対処法
Use the reduced avatrombopag starting dose recommended in labeling for ITP, and monitor platelet counts and adjust dose accordingly.
薬剤師に尋ねること
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、AvatrombopagとFluconazole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
WebでPro+を7日間無料でお試し。カード登録不要。
Fluconazoleのその他の相互作用
Avatrombopagのその他の相互作用
よくある質問
Can I take Avatrombopag with Fluconazole?
MediHelp rates the interaction as moderate. Avatrombopag and Fluconazole can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Fluconazole inhibits both CYP2C9 and CYP3A4, which metabolize avatrombopag, so exposure rises. Increased platelet response may raise the risk of excessive platelet counts and thrombotic events.
How serious is the interaction between Avatrombopag and Fluconazole?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the reduced avatrombopag starting dose recommended in labeling for ITP, and monitor platelet counts and adjust dose accordingly.
What other medicines interact with Fluconazole?
MediHelp also lists interactions of Fluconazole with, for example, Dihydroergotamine intranasal, Dihydroergotamine, Dofetilide. The full list is on the Fluconazole 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。
