相互作用
Bosentan + Pretomanid
重症度: 重大
Bosentan and Pretomanid: major 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
Pretomanid is partly metabolized by CYP3A4, and inducers can lower its exposure. This may compromise tuberculosis treatment efficacy.
この相互作用をわかりやすく説明すると
Bosentan and Pretomanid 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.
Bosentan belongs to Miscellaneous; Pretomanid belongs to Anti Bacterial.
なぜ起こるのか
Bosentan induces CYP3A4, increasing pretomanid metabolism.
対処法
Avoid coadministration and use an alternative to bosentan during therapy. If unavoidable, monitor treatment response closely.
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
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、BosentanとPretomanid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14日間無料でお試し。カード登録不要。
Bosentanのその他の相互作用
Pretomanidのその他の相互作用
よくある質問
Can I take Bosentan with Pretomanid?
MediHelp rates the interaction as major. Bosentan and Pretomanid 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. Pretomanid is partly metabolized by CYP3A4, and inducers can lower its exposure. This may compromise tuberculosis treatment efficacy.
How serious is the interaction between Bosentan and Pretomanid?
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 coadministration and use an alternative to bosentan during therapy. If unavoidable, monitor treatment response closely.
What other medicines interact with Bosentan?
MediHelp also lists interactions of Bosentan with, for example, Cyclosporin, Cyclosporine, Glyburide. The full list is on the Bosentan 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。
