相互作用
Brexpiprazole + Pyrimethamine
重症度: 中等度
Brexpiprazole and Pyrimethamine: moderate interaction.
最終更新日
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概要
Pyrimethamine may raise brexpiprazole exposure by inhibiting its CYP2D6 metabolism. Higher levels could increase sedation, akathisia, orthostatic hypotension and other adverse effects, especially if a CYP3A4 inhibitor is also given.
この相互作用をわかりやすく説明すると
Brexpiprazole and Pyrimethamine 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.
Brexpiprazole belongs to Central Nervous System; Pyrimethamine belongs to Anti Parasitic.
なぜ起こるのか
Inhibition of CYP2D6-mediated metabolism of brexpiprazole.
対処法
Monitor for adverse effects of brexpiprazole during co-use. Reduce the brexpiprazole dose to a quarter of usual if a strong or moderate CYP3A4 inhibitor is also given with a CYP2D6 inhibitor.
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、BrexpiprazoleとPyrimethamine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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Pyrimethamineのその他の相互作用
Brexpiprazoleのその他の相互作用
よくある質問
Can I take Brexpiprazole with Pyrimethamine?
MediHelp rates the interaction as moderate. Brexpiprazole and Pyrimethamine 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. Pyrimethamine may raise brexpiprazole exposure by inhibiting its CYP2D6 metabolism. Higher levels could increase sedation, akathisia, orthostatic hypotension and other adverse effects, especially if a CYP3A4 inhibitor is also given.
How serious is the interaction between Brexpiprazole and Pyrimethamine?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for adverse effects of brexpiprazole during co-use. Reduce the brexpiprazole dose to a quarter of usual if a strong or moderate CYP3A4 inhibitor is also given with a CYP2D6 inhibitor.
What other medicines interact with Pyrimethamine?
MediHelp also lists interactions of Pyrimethamine with, for example, Deferiprone, Eliglustat, Acalabrutinib. The full list is on the Pyrimethamine 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。
