相互作用
Cholic acid + Ketoconazole
重症度: 重大
Cholic acid and Ketoconazole: major interaction.
最終更新日
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概要
Ketoconazole may inhibit the bile salt export pump, which cholic acid therapy depends on for hepatic bile salt excretion. Accumulation of conjugated bile salts in hepatocytes can cause liver injury.
この相互作用をわかりやすく説明すると
Cholic acid and Ketoconazole 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.
Cholic acid belongs to Gastrointestinal Tract; Ketoconazole belongs to Anti Fungals.
なぜ起こるのか
Inhibition of the bile salt efflux pump (BSEP) reduces hepatic bile salt elimination.
対処法
Avoid the combination where possible; if it is necessary, monitor serum transaminases and bilirubin regularly and stop cholic acid if liver injury develops.
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、Cholic acidとKetoconazole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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Ketoconazoleのその他の相互作用
Cholic acidのその他の相互作用
よくある質問
Can I take Cholic acid with Ketoconazole?
MediHelp rates the interaction as major. Cholic acid and Ketoconazole 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. Ketoconazole may inhibit the bile salt export pump, which cholic acid therapy depends on for hepatic bile salt excretion. Accumulation of conjugated bile salts in hepatocytes can cause liver injury.
How serious is the interaction between Cholic acid and Ketoconazole?
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, monitor serum transaminases and bilirubin regularly and stop cholic acid if liver injury develops.
What other medicines interact with Ketoconazole?
MediHelp also lists interactions of Ketoconazole with, for example, Alfuzosin, Alprazolam, Avanafil. The full list is on the Ketoconazole 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。
