相互作用
Erythromycin + Fluconazole
重症度: 併用禁忌
Erythromycin and Fluconazole: contraindicated interaction.
最終更新日
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概要
Fluconazole and erythromycin both prolong the QTc interval, and fluconazole also inhibits CYP3A4, reducing erythromycin clearance. Torsades de pointes is more likely.
この相互作用をわかりやすく説明すると
Erythromycin and Fluconazole 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.
Erythromycin belongs to Anti Bacterial; Fluconazole belongs to Anti Fungals.
なぜ起こるのか
Additive QTc prolongation plus CYP3A4 inhibition
対処法
Avoid; choose an antibacterial or antifungal without QT effects.
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、ErythromycinとFluconazole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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Erythromycinのその他の相互作用
Fluconazoleのその他の相互作用
よくある質問
Can I take Erythromycin with Fluconazole?
MediHelp rates the interaction as contraindicated. Erythromycin and Fluconazole 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. Fluconazole and erythromycin both prolong the QTc interval, and fluconazole also inhibits CYP3A4, reducing erythromycin clearance. Torsades de pointes is more likely.
How serious is the interaction between Erythromycin and Fluconazole?
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; choose an antibacterial or antifungal without QT effects.
What other medicines interact with Erythromycin?
MediHelp also lists interactions of Erythromycin with, for example, Conivaptan, Dihydroergotamine intranasal, Dihydroergotamine. The full list is on the Erythromycin 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。
