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相互作用

Elvitegravir / cobicistat / emtricitabine / tenofovir df + Phenytoin

重症度: 併用禁忌

Elvitegravir / cobicistat / emtricitabine / tenofovir df and Phenytoin: contraindicated interaction.

最終更新日

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概要

Phenytoin lowers elvitegravir and cobicistat exposure, which may cause loss of virologic control and resistance.

この相互作用をわかりやすく説明すると

Elvitegravir / cobicistat / emtricitabine / tenofovir df and Phenytoin 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.

エビデンスレベル: High

なぜ起こるのか

Phenytoin induces CYP3A4 metabolism of elvitegravir and cobicistat.

対処法

Do not use together; choose a different antiretroviral regimen or a non-inducing anticonvulsant.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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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Phenytoin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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よくある質問

Can I take Elvitegravir / cobicistat / emtricitabine / tenofovir df with Phenytoin?

MediHelp rates the interaction as contraindicated. Elvitegravir / cobicistat / emtricitabine / tenofovir df and Phenytoin 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. Phenytoin lowers elvitegravir and cobicistat exposure, which may cause loss of virologic control and resistance.

How serious is the interaction between Elvitegravir / cobicistat / emtricitabine / tenofovir df and Phenytoin?

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 use together; choose a different antiretroviral regimen or a non-inducing anticonvulsant.

What other medicines interact with Phenytoin?

MediHelp also lists interactions of Phenytoin with, for example, Artemether / lumefantrine, Bictegravir, Cabotegravir. The full list is on the Phenytoin 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。

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