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相互作用

Avatrombopag + Ketoconazole

重症度: 中等度

Avatrombopag and Ketoconazole: moderate interaction.

最終更新日

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概要

Ketoconazole inhibits CYP3A4 and can increase avatrombopag exposure. Excess effect may raise platelet counts and thrombotic risk.

この相互作用をわかりやすく説明すると

Avatrombopag and Ketoconazole 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; Ketoconazole belongs to Anti Fungals.

エビデンスレベル: Moderate

なぜ起こるのか

Inhibition of CYP3A4 (and CYP2C9 contribution) reduces avatrombopag clearance.

対処法

Use the reduced starting dose recommended in labeling for dual CYP2C9/3A4 inhibitors and monitor platelet counts.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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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、AvatrombopagとKetoconazole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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よくある質問

Can I take Avatrombopag with Ketoconazole?

MediHelp rates the interaction as moderate. Avatrombopag and Ketoconazole 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. Ketoconazole inhibits CYP3A4 and can increase avatrombopag exposure. Excess effect may raise platelet counts and thrombotic risk.

How serious is the interaction between Avatrombopag and Ketoconazole?

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 starting dose recommended in labeling for dual CYP2C9/3A4 inhibitors and monitor platelet counts.

What other medicines interact with Ketoconazole?

MediHelp also lists interactions of Ketoconazole with, for example, Alfuzosin, Alprazolam, Avanafil. The full list is on the Ketoconazole 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。

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