相互作用
Cyclosporine + Pitavastatin
重症度: 併用禁忌
Cyclosporine and Pitavastatin: contraindicated 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
Cyclosporine markedly increases pitavastatin exposure, raising the risk of myopathy and rhabdomyolysis. Pitavastatin labeling contraindicates concomitant use.
この相互作用をわかりやすく説明すると
Cyclosporine and Pitavastatin 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.
なぜ起こるのか
Cyclosporine inhibits OATP1B1 and OATP1B3 hepatic uptake of pitavastatin, greatly increasing systemic concentrations.
対処法
Do not coadminister. Use an alternative lipid-lowering strategy, or a statin with defined dose limits with cyclosporine, such as low-dose pravastatin or fluvastatin.
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、CyclosporineとPitavastatin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14日間無料でお試し。カード登録不要。
Pitavastatinのその他の相互作用
よくある質問
Can I take Cyclosporine with Pitavastatin?
MediHelp rates the interaction as contraindicated. Cyclosporine and Pitavastatin 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. Cyclosporine markedly increases pitavastatin exposure, raising the risk of myopathy and rhabdomyolysis. Pitavastatin labeling contraindicates concomitant use.
How serious is the interaction between Cyclosporine and Pitavastatin?
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 coadminister. Use an alternative lipid-lowering strategy, or a statin with defined dose limits with cyclosporine, such as low-dose pravastatin or fluvastatin.
What other medicines interact with Pitavastatin?
MediHelp also lists interactions of Pitavastatin with, for example, Cyclosporin, Erythromycin base, Erythromycin ethylsuccinate. The full list is on the Pitavastatin 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。
