相互作用
Elagolix + Ketoconazole
重症度: 重大
Elagolix and Ketoconazole: major interaction.
最終更新日
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概要
Strong CYP3A inhibition by ketoconazole increases elagolix exposure, raising the risk of dose-related effects such as bone mineral density loss and liver enzyme elevations. Risk is greater with longer duration of use.
この相互作用をわかりやすく説明すると
Elagolix and Ketoconazole 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.
Elagolix belongs to Musculoskeletal; Ketoconazole belongs to Anti Fungals.
なぜ起こるのか
Ketoconazole inhibits CYP3A4-mediated metabolism of elagolix.
対処法
Avoid long-term use with the 200 mg twice-daily dose; if the combination is needed, limit elagolix to 150 mg once daily and restrict the inhibitor course to a maximum of 6 months.
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、ElagolixとKetoconazole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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Ketoconazole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 Ketoconazole?
MediHelp rates the interaction as major. Elagolix and Ketoconazole 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. Strong CYP3A inhibition by ketoconazole increases elagolix exposure, raising the risk of dose-related effects such as bone mineral density loss and liver enzyme elevations. Risk is greater with longer duration of use.
How serious is the interaction between Elagolix and Ketoconazole?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid long-term use with the 200 mg twice-daily dose; if the combination is needed, limit elagolix to 150 mg once daily and restrict the inhibitor course to a maximum of 6 months.
What other medicines interact with Ketoconazole?
MediHelp also lists interactions of Ketoconazole with, for example, Alfuzosin, Alprazolam, Avanafil. The full list is on the Ketoconazole 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。
