相互作用
Dolutegravir + Magnesium hydroxide
重症度: 重大
Dolutegravir and Magnesium hydroxide: major interaction.
最終更新日
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概要
Magnesium binds dolutegravir in the gut and substantially lowers its absorption. Reduced exposure may cause virologic failure and integrase resistance.
この相互作用をわかりやすく説明すると
Dolutegravir and Magnesium hydroxide 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.
Dolutegravir belongs to Anti Virals; Magnesium hydroxide belongs to Gastrointestinal Tract.
なぜ起こるのか
Chelation of dolutegravir by polyvalent magnesium cations in the gastrointestinal tract.
対処法
Take dolutegravir 2 hours before or 6 hours after magnesium hydroxide. Monitor viral load if timing cannot be maintained.
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?
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、DolutegravirとMagnesium hydroxide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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Magnesium hydroxideのその他の相互作用
Dolutegravirのその他の相互作用
よくある質問
Can I take Dolutegravir with Magnesium hydroxide?
MediHelp rates the interaction as major. Dolutegravir and Magnesium hydroxide 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. Magnesium binds dolutegravir in the gut and substantially lowers its absorption. Reduced exposure may cause virologic failure and integrase resistance.
How serious is the interaction between Dolutegravir and Magnesium hydroxide?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Take dolutegravir 2 hours before or 6 hours after magnesium hydroxide. Monitor viral load if timing cannot be maintained.
What other medicines interact with Magnesium hydroxide?
MediHelp also lists interactions of Magnesium hydroxide with, for example, Ciprofloxacin, Gemifloxacin, Levofloxacin. The full list is on the Magnesium hydroxide 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。
