相互作用
Elagolix + Gemfibrozil
重症度: 併用禁忌
Elagolix and Gemfibrozil: contraindicated interaction.
最終更新日
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概要
Gemfibrozil raises elagolix plasma concentrations substantially. Higher elagolix exposure increases the risk of dose-related adverse effects such as bone mineral density loss, hepatic transaminase elevation and mood changes. Labeling lists strong OATP1B1 inhibitors as contraindicated.
この相互作用をわかりやすく説明すると
Elagolix and Gemfibrozil 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.
Elagolix belongs to Musculoskeletal; Gemfibrozil belongs to Cardiovascular.
なぜ起こるのか
Gemfibrozil inhibits hepatic OATP1B1 uptake of elagolix, reducing its hepatic clearance and increasing systemic exposure.
対処法
Do not co-administer elagolix with gemfibrozil. Choose a different lipid-lowering agent such as a statin or fenofibrate, or an alternative therapy for endometriosis.
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
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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、ElagolixとGemfibrozil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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Gemfibrozilのその他の相互作用
Elagolixのその他の相互作用
よくある質問
Can I take Elagolix with Gemfibrozil?
MediHelp rates the interaction as contraindicated. Elagolix and Gemfibrozil 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. Gemfibrozil raises elagolix plasma concentrations substantially. Higher elagolix exposure increases the risk of dose-related adverse effects such as bone mineral density loss, hepatic transaminase elevation and mood changes. Labeling lists strong OATP1B1 inhibitors as contraindicated.
How serious is the interaction between Elagolix and Gemfibrozil?
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 elagolix with gemfibrozil. Choose a different lipid-lowering agent such as a statin or fenofibrate, or an alternative therapy for endometriosis.
What other medicines interact with Gemfibrozil?
MediHelp also lists interactions of Gemfibrozil with, for example, Daprodustat, Mavacamten, Metformin-repaglinide. The full list is on the Gemfibrozil 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。