相互作用
Cobicistat + Eplerenone
重症度: 併用禁忌
Cobicistat and Eplerenone: contraindicated interaction.
最終更新日
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概要
Cobicistat is a strong CYP3A4 inhibitor and markedly raises eplerenone exposure. This increases the risk of severe hyperkalemia with potentially dangerous cardiac arrhythmias.
この相互作用をわかりやすく説明すると
Cobicistat and Eplerenone are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Cobicistat belongs to Miscellaneous; Eplerenone belongs to Cardiovascular.
なぜ起こるのか
Strong inhibition of CYP3A4-mediated eplerenone metabolism.
対処法
Do not use together; choose an alternative antihypertensive or heart failure agent, or an alternative antiretroviral booster regimen.
薬剤師に尋ねること
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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、CobicistatとEplerenone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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Eplerenone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 Cobicistat with Eplerenone?
MediHelp rates the interaction as contraindicated. Cobicistat and Eplerenone are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Cobicistat is a strong CYP3A4 inhibitor and markedly raises eplerenone exposure. This increases the risk of severe hyperkalemia with potentially dangerous cardiac arrhythmias.
How serious is the interaction between Cobicistat and Eplerenone?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use together; choose an alternative antihypertensive or heart failure agent, or an alternative antiretroviral booster regimen.
What other medicines interact with Eplerenone?
MediHelp also lists interactions of Eplerenone with, for example, Amiloride, Atazanavir, Clarithromycin. The full list is on the Eplerenone 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。
