相互作用
Dalfampridine + Dolutegravir
重症度: 中等度
Dalfampridine and Dolutegravir: moderate interaction.
最終更新日
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概要
Dolutegravir inhibits renal tubular transporters OCT2 and MATE1 and may raise dalfampridine concentrations, which are renally eliminated. Higher levels increase the risk of seizures, a dose-related adverse effect of dalfampridine.
この相互作用をわかりやすく説明すると
Dalfampridine and Dolutegravir can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Dalfampridine belongs to Central Nervous System; Dolutegravir belongs to Anti Virals.
なぜ起こるのか
Inhibition of OCT2/MATE1-mediated renal tubular secretion by dolutegravir reduces dalfampridine clearance.
対処法
Monitor for dalfampridine adverse effects, especially seizures, and avoid use if renal function is impaired; consider an alternative if seizure risk is a concern.
薬剤師に尋ねること
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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、DalfampridineとDolutegravir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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Dolutegravirのその他の相互作用
Dalfampridineのその他の相互作用
よくある質問
Can I take Dalfampridine with Dolutegravir?
MediHelp rates the interaction as moderate. Dalfampridine and Dolutegravir can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Dolutegravir inhibits renal tubular transporters OCT2 and MATE1 and may raise dalfampridine concentrations, which are renally eliminated. Higher levels increase the risk of seizures, a dose-related adverse effect of dalfampridine.
How serious is the interaction between Dalfampridine and Dolutegravir?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for dalfampridine adverse effects, especially seizures, and avoid use if renal function is impaired; consider an alternative if seizure risk is a concern.
What other medicines interact with Dolutegravir?
MediHelp also lists interactions of Dolutegravir with, for example, Dofetilide, Aluminum hydroxide, Atidarsagene autotemcel. The full list is on the Dolutegravir 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。
