相互作用
Dronedarone + Fluconazole
重症度: 併用禁忌
Dronedarone and Fluconazole: contraindicated interaction.
最終更新日
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概要
Fluconazole inhibits CYP3A4 and prolongs the QTc interval, and dronedarone adds its own QT effect. Higher dronedarone exposure and additive QT prolongation together raise torsades de pointes risk.
この相互作用をわかりやすく説明すると
Dronedarone and Fluconazole 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.
Dronedarone belongs to Cardiovascular; Fluconazole belongs to Anti Fungals.
なぜ起こるのか
CYP3A4 inhibition plus additive QTc prolongation
対処法
Do not co-administer; use a non-azole antifungal option or an alternative antiarrhythmic.
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、DronedaroneとFluconazole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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Fluconazoleのその他の相互作用
Dronedaroneのその他の相互作用
よくある質問
Can I take Dronedarone with Fluconazole?
MediHelp rates the interaction as contraindicated. Dronedarone and Fluconazole 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. Fluconazole inhibits CYP3A4 and prolongs the QTc interval, and dronedarone adds its own QT effect. Higher dronedarone exposure and additive QT prolongation together raise torsades de pointes risk.
How serious is the interaction between Dronedarone and Fluconazole?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not co-administer; use a non-azole antifungal option or an alternative antiarrhythmic.
What other medicines interact with Fluconazole?
MediHelp also lists interactions of Fluconazole with, for example, Dihydroergotamine intranasal, Dihydroergotamine, Dofetilide. The full list is on the Fluconazole 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。
