相互作用
Chenodeoxycholic acid + Sirolimus
重症度: 重大
Chenodeoxycholic acid and Sirolimus: major interaction.
最終更新日
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概要
Sirolimus may inhibit CYP27A1 and reduce bile acid synthesis, potentially compromising chenodeoxycholic acid therapy. Biochemical control could worsen.
この相互作用をわかりやすく説明すると
Chenodeoxycholic acid and Sirolimus 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.
Chenodeoxycholic acid belongs to Gastrointestinal Tract; Sirolimus belongs to Miscellaneous.
なぜ起こるのか
CYP27A1 inhibition by sirolimus reduces bile acid synthesis.
対処法
Avoid if possible; otherwise monitor serum bile alcohols and adjust the chenodeoxycholic acid dose.
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、Chenodeoxycholic acidとSirolimus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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Chenodeoxycholic acidのその他の相互作用
Sirolimusのその他の相互作用
よくある質問
Can I take Chenodeoxycholic acid with Sirolimus?
MediHelp rates the interaction as major. Chenodeoxycholic acid and Sirolimus 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. Sirolimus may inhibit CYP27A1 and reduce bile acid synthesis, potentially compromising chenodeoxycholic acid therapy. Biochemical control could worsen.
How serious is the interaction between Chenodeoxycholic acid and Sirolimus?
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 if possible; otherwise monitor serum bile alcohols and adjust the chenodeoxycholic acid dose.
What other medicines interact with Chenodeoxycholic acid?
MediHelp also lists interactions of Chenodeoxycholic acid with, for example, Cyclosporin, Aluminum hydroxide, Colestipol. The full list is on the Chenodeoxycholic acid 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。
