相互作用
Daridorexant + Fluvoxamine
重症度: 重大
Daridorexant and Fluvoxamine: major interaction.
最終更新日
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概要
Fluvoxamine moderately inhibits CYP3A4, increasing daridorexant exposure and the risk of next-day somnolence and psychomotor impairment. Additive CNS depression may occur.
この相互作用をわかりやすく説明すると
Daridorexant and Fluvoxamine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Daridorexant belongs to Central Nervous System; Fluvoxamine belongs to Central Nervous System.
なぜ起こるのか
CYP3A4 inhibition reducing daridorexant clearance, plus additive CNS depressant effects.
対処法
Limit daridorexant to a maximum of 25 mg nightly. Counsel patients about daytime drowsiness and driving impairment.
薬剤師に尋ねること
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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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、DaridorexantとFluvoxamine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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Fluvoxamineのその他の相互作用
Daridorexantのその他の相互作用
よくある質問
Can I take Daridorexant with Fluvoxamine?
MediHelp rates the interaction as major. Daridorexant and Fluvoxamine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Fluvoxamine moderately inhibits CYP3A4, increasing daridorexant exposure and the risk of next-day somnolence and psychomotor impairment. Additive CNS depression may occur.
How serious is the interaction between Daridorexant and Fluvoxamine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Limit daridorexant to a maximum of 25 mg nightly. Counsel patients about daytime drowsiness and driving impairment.
What other medicines interact with Fluvoxamine?
MediHelp also lists interactions of Fluvoxamine with, for example, Agomelatine, Alosetron, Fezolinetant. The full list is on the Fluvoxamine 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。
