相互作用
Elvitegravir / cobicistat / emtricitabine / tenofovir df + Eplerenone
重症度: 併用禁忌
Elvitegravir / cobicistat / emtricitabine / tenofovir df and Eplerenone: contraindicated interaction.
最終更新日
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概要
The cobicistat component strongly inhibits CYP3A4 and raises eplerenone levels. This increases the risk of serious hyperkalemia.
この相互作用をわかりやすく説明すると
Elvitegravir / cobicistat / emtricitabine / tenofovir df and Eplerenone 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.
なぜ起こるのか
Cobicistat inhibits CYP3A4-mediated eplerenone metabolism.
対処法
Avoid concurrent use; choose an alternative antihypertensive or heart failure therapy, or a non-boosted antiretroviral regimen.
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、Elvitegravir / cobicistat / emtricitabine / tenofovir dfとEplerenone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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Eplerenoneのその他の相互作用
よくある質問
Can I take Elvitegravir / cobicistat / emtricitabine / tenofovir df with Eplerenone?
MediHelp rates the interaction as contraindicated. Elvitegravir / cobicistat / emtricitabine / tenofovir df and Eplerenone 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. The cobicistat component strongly inhibits CYP3A4 and raises eplerenone levels. This increases the risk of serious hyperkalemia.
How serious is the interaction between Elvitegravir / cobicistat / emtricitabine / tenofovir df and Eplerenone?
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 concurrent use; choose an alternative antihypertensive or heart failure therapy, or a non-boosted antiretroviral regimen.
What other medicines interact with Eplerenone?
MediHelp also lists interactions of Eplerenone with, for example, Amiloride, Atazanavir, Clarithromycin. The full list is on the Eplerenone 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。
