相互作用
Budesonide + Cobicistat
重症度: 重大
Budesonide and Cobicistat: 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
Cobicistat is a strong CYP3A inhibitor and substantially increases systemic budesonide exposure. This can lead to Cushing's syndrome and adrenal suppression, including with inhaled or intranasal budesonide.
この相互作用をわかりやすく説明すると
Budesonide and Cobicistat 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.
Budesonide belongs to Respiratory; Cobicistat belongs to Miscellaneous.
なぜ起こるのか
Strong inhibition of CYP3A4 reduces budesonide first-pass and systemic clearance.
対処法
Avoid the combination unless benefit outweighs risk; consider beclomethasone as an alternative. If used, monitor for Cushingoid effects and adrenal suppression.
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、BudesonideとCobicistat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7日間無料でお試し。カード登録不要。
Budesonideのその他の相互作用
Cobicistatのその他の相互作用
よくある質問
Can I take Budesonide with Cobicistat?
MediHelp rates the interaction as major. Budesonide and Cobicistat 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. Cobicistat is a strong CYP3A inhibitor and substantially increases systemic budesonide exposure. This can lead to Cushing's syndrome and adrenal suppression, including with inhaled or intranasal budesonide.
How serious is the interaction between Budesonide and Cobicistat?
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 unless benefit outweighs risk; consider beclomethasone as an alternative. If used, monitor for Cushingoid effects and adrenal suppression.
What other medicines interact with Budesonide?
MediHelp also lists interactions of Budesonide with, for example, Aldesleukin, Atazanavir, Bcg vaccine live. The full list is on the Budesonide 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。
