相互作用
Bromocriptine + Darunavir
重症度: 重大
Bromocriptine and Darunavir: major interaction.
最終更新日
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概要
Darunavir, usually given with a booster such as ritonavir or cobicistat, strongly inhibits CYP3A4 and can raise bromocriptine exposure. Higher levels may cause nausea, hypotension, dizziness, somnolence, hallucinations and other dopaminergic adverse effects.
この相互作用をわかりやすく説明すると
Bromocriptine and Darunavir 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.
Bromocriptine belongs to Central Nervous System; Darunavir belongs to Anti Virals.
なぜ起こるのか
Inhibition of CYP3A4-mediated metabolism of bromocriptine reduces its clearance.
対処法
Avoid the combination where possible; if it is necessary, start bromocriptine at a low dose and titrate slowly while monitoring blood pressure and CNS effects. Reduce the bromocriptine dose if adverse effects appear.
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、BromocriptineとDarunavir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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Bromocriptineのその他の相互作用
Darunavirのその他の相互作用
よくある質問
Can I take Bromocriptine with Darunavir?
MediHelp rates the interaction as major. Bromocriptine and Darunavir 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. Darunavir, usually given with a booster such as ritonavir or cobicistat, strongly inhibits CYP3A4 and can raise bromocriptine exposure. Higher levels may cause nausea, hypotension, dizziness, somnolence, hallucinations and other dopaminergic adverse effects.
How serious is the interaction between Bromocriptine and Darunavir?
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 the combination where possible; if it is necessary, start bromocriptine at a low dose and titrate slowly while monitoring blood pressure and CNS effects. Reduce the bromocriptine dose if adverse effects appear.
What other medicines interact with Bromocriptine?
MediHelp also lists interactions of Bromocriptine with, for example, Amisulpride, Atazanavir, Cobicistat. The full list is on the Bromocriptine 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。
