相互作用
Brexpiprazole + Rifabutin
重症度: 重大
Brexpiprazole and Rifabutin: major interaction.
最終更新日
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概要
Rifabutin induces CYP3A4, though less potently than rifampicin, and may lower brexpiprazole concentrations. Reduced efficacy is possible.
この相互作用をわかりやすく説明すると
Brexpiprazole and Rifabutin 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.
Brexpiprazole belongs to Central Nervous System; Rifabutin belongs to Anti Bacterial.
なぜ起こるのか
Rifabutin induces CYP3A4, increasing brexpiprazole clearance.
対処法
Increase the brexpiprazole dose toward twice the usual dose over 1 to 2 weeks and monitor response. Reduce it again when rifabutin is stopped.
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、BrexpiprazoleとRifabutin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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Brexpiprazoleのその他の相互作用
Rifabutinのその他の相互作用
よくある質問
Can I take Brexpiprazole with Rifabutin?
MediHelp rates the interaction as major. Brexpiprazole and Rifabutin 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. Rifabutin induces CYP3A4, though less potently than rifampicin, and may lower brexpiprazole concentrations. Reduced efficacy is possible.
How serious is the interaction between Brexpiprazole and Rifabutin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Increase the brexpiprazole dose toward twice the usual dose over 1 to 2 weeks and monitor response. Reduce it again when rifabutin is stopped.
What other medicines interact with Brexpiprazole?
MediHelp also lists interactions of Brexpiprazole with, for example, Alfentanil, Amisulpride, Apalutamide. The full list is on the Brexpiprazole 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。
