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相互作用

Daprodustat + Hydrochlorothiazide-irbesartan

重症度: 中等度

Daprodustat and Hydrochlorothiazide-irbesartan: moderate interaction.

最終更新日

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概要

Irbesartan is reported to be a CYP2C8 inhibitor, and daprodustat is cleared mainly by CYP2C8. Exposure to daprodustat may therefore rise, increasing the risk of excessive erythropoietic response and related cardiovascular or thrombotic events.

この相互作用をわかりやすく説明すると

Daprodustat and Hydrochlorothiazide-irbesartan 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.

Daprodustat belongs to Endocrine; Hydrochlorothiazide-irbesartan belongs to Cardiovascular.

エビデンスレベル: Low

なぜ起こるのか

Inhibition of CYP2C8-mediated metabolism of daprodustat raises its plasma concentrations.

対処法

Monitor hemoglobin closely when irbesartan is started or stopped and adjust the daprodustat dose accordingly. Consider a lower daprodustat starting dose if the combination is initiated together.

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?

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、DaprodustatとHydrochlorothiazide-irbesartan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 Daprodustat with Hydrochlorothiazide-irbesartan?

MediHelp rates the interaction as moderate. Daprodustat and Hydrochlorothiazide-irbesartan 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. Irbesartan is reported to be a CYP2C8 inhibitor, and daprodustat is cleared mainly by CYP2C8. Exposure to daprodustat may therefore rise, increasing the risk of excessive erythropoietic response and related cardiovascular or thrombotic events.

How serious is the interaction between Daprodustat and Hydrochlorothiazide-irbesartan?

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 hemoglobin closely when irbesartan is started or stopped and adjust the daprodustat dose accordingly. Consider a lower daprodustat starting dose if the combination is initiated together.

What other medicines interact with Hydrochlorothiazide-irbesartan?

MediHelp also lists interactions of Hydrochlorothiazide-irbesartan with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Hydrochlorothiazide-irbesartan 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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