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相互作用

Cyclosporin + Mifepristone

重症度: 併用禁忌

Cyclosporin and Mifepristone: contraindicated interaction.

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概要

Mifepristone inhibits CYP3A4 and P-glycoprotein and can raise cyclosporine concentrations substantially. Higher cyclosporine levels increase nephrotoxicity, hypertension and neurotoxicity.

この相互作用をわかりやすく説明すると

Cyclosporin and Mifepristone 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.

Cyclosporin belongs to Miscellaneous; Mifepristone belongs to Endocrine.

エビデンスレベル: Moderate

なぜ起こるのか

CYP3A4 and P-gp inhibition raises cyclosporine exposure

対処法

Avoid; if unavoidable, use the lowest cyclosporine dose with close trough monitoring and renal function checks.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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アカウントを作成してPro+トライアルを始めると、CyclosporinとMifepristone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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よくある質問

Can I take Cyclosporin with Mifepristone?

MediHelp rates the interaction as contraindicated. Cyclosporin and Mifepristone 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. Mifepristone inhibits CYP3A4 and P-glycoprotein and can raise cyclosporine concentrations substantially. Higher cyclosporine levels increase nephrotoxicity, hypertension and neurotoxicity.

How serious is the interaction between Cyclosporin and Mifepristone?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid; if unavoidable, use the lowest cyclosporine dose with close trough monitoring and renal function checks.

What other medicines interact with Cyclosporin?

MediHelp also lists interactions of Cyclosporin with, for example, Adenovirus types 4 and 7 live, Aliskiren, Bcg vaccine live. The full list is on the Cyclosporin 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。

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