相互作用
Duvelisib + Ergotamine
重症度: 併用禁忌
Duvelisib and Ergotamine: contraindicated interaction.
最終更新日
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概要
Duvelisib inhibits CYP3A4 and can raise exposure to sensitive CYP3A4 substrates. Ergotamine is cleared mainly by CYP3A4, and higher levels carry a risk of ergotism with severe peripheral and cerebral vasospasm and ischemia.
この相互作用をわかりやすく説明すると
Duvelisib and Ergotamine 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.
Duvelisib belongs to Oncology; Ergotamine belongs to Central Nervous System.
なぜ起こるのか
Duvelisib inhibits CYP3A4, reducing the first-pass and systemic metabolism of ergotamine.
対処法
Avoid combining ergotamine with duvelisib and choose a non-ergot acute migraine treatment. If it cannot be avoided, monitor closely for ischemic symptoms such as cold or numb extremities and chest pain.
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?
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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、DuvelisibとErgotamine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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Ergotamineのその他の相互作用
Duvelisibのその他の相互作用
よくある質問
Can I take Duvelisib with Ergotamine?
MediHelp rates the interaction as contraindicated. Duvelisib and Ergotamine 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. Duvelisib inhibits CYP3A4 and can raise exposure to sensitive CYP3A4 substrates. Ergotamine is cleared mainly by CYP3A4, and higher levels carry a risk of ergotism with severe peripheral and cerebral vasospasm and ischemia.
How serious is the interaction between Duvelisib and Ergotamine?
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 combining ergotamine with duvelisib and choose a non-ergot acute migraine treatment. If it cannot be avoided, monitor closely for ischemic symptoms such as cold or numb extremities and chest pain.
What other medicines interact with Ergotamine?
MediHelp also lists interactions of Ergotamine with, for example, Almotriptan, Atazanavir, Clarithromycin. The full list is on the Ergotamine 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。
