相互作用
Efavirenz + Lomitapide
重症度: 併用禁忌
Efavirenz and Lomitapide: contraindicated interaction.
最終更新日
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
概要
Lomitapide is a sensitive CYP3A4 substrate and exposure can rise markedly with interacting drugs, increasing hepatotoxicity and gastrointestinal adverse effects. Efavirenz is a mixed CYP3A4 modulator and the net effect is uncertain, but the label restricts such combinations.
この相互作用をわかりやすく説明すると
Efavirenz and Lomitapide 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.
Efavirenz belongs to Anti Virals; Lomitapide belongs to Cardiovascular.
なぜ起こるのか
Efavirenz modulation of CYP3A4 alters lomitapide metabolism, with potential for increased exposure.
対処法
Avoid the combination and choose a different lipid-lowering strategy or antiretroviral. If lomitapide is essential, monitor liver enzymes closely.
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、EfavirenzとLomitapide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
WebでPro+を14日間無料でお試し。カード登録不要。
Efavirenzのその他の相互作用
Lomitapideのその他の相互作用
よくある質問
Can I take Efavirenz with Lomitapide?
MediHelp rates the interaction as contraindicated. Efavirenz and Lomitapide 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. Lomitapide is a sensitive CYP3A4 substrate and exposure can rise markedly with interacting drugs, increasing hepatotoxicity and gastrointestinal adverse effects. Efavirenz is a mixed CYP3A4 modulator and the net effect is uncertain, but the label restricts such combinations.
How serious is the interaction between Efavirenz and Lomitapide?
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 the combination and choose a different lipid-lowering strategy or antiretroviral. If lomitapide is essential, monitor liver enzymes closely.
What other medicines interact with Efavirenz?
MediHelp also lists interactions of Efavirenz with, for example, Cobimetinib, Dienogest / estradiol valerate, Dihydroergotamine intranasal. The full list is on the Efavirenz 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。
