相互作用
Darunavir + Ivabradine
重症度: 併用禁忌
Darunavir and Ivabradine: contraindicated interaction.
最終更新日
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概要
Darunavir, particularly when boosted with ritonavir or cobicistat, strongly inhibits CYP3A4 and increases ivabradine levels. The result may be profound bradycardia and conduction block.
この相互作用をわかりやすく説明すると
Darunavir and Ivabradine 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.
Darunavir belongs to Anti Virals; Ivabradine belongs to Cardiovascular.
なぜ起こるのか
CYP3A4 inhibition reduces ivabradine metabolism and increases exposure.
対処法
Avoid concurrent use. Choose a different heart rate-lowering therapy while on a darunavir-based regimen.
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、DarunavirとIvabradine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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Ivabradineのその他の相互作用
Darunavirのその他の相互作用
よくある質問
Can I take Darunavir with Ivabradine?
MediHelp rates the interaction as contraindicated. Darunavir and Ivabradine 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. Darunavir, particularly when boosted with ritonavir or cobicistat, strongly inhibits CYP3A4 and increases ivabradine levels. The result may be profound bradycardia and conduction block.
How serious is the interaction between Darunavir and Ivabradine?
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 concurrent use. Choose a different heart rate-lowering therapy while on a darunavir-based regimen.
What other medicines interact with Ivabradine?
MediHelp also lists interactions of Ivabradine with, for example, Atazanavir, Clarithromycin, Cobicistat. The full list is on the Ivabradine 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。
