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Ethinyl estradiol-drospirenone + Ombitasvir / paritaprevir / ritonavir

重症度: 併用禁忌

Ethinyl estradiol-drospirenone and Ombitasvir / paritaprevir / ritonavir: contraindicated interaction.

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概要

Ethinyl estradiol-containing contraceptives given with this HCV regimen have been associated with significant ALT elevations. The regimen is labeled as contraindicated with ethinyl estradiol products. The interaction is hepatic rather than a CYP3A4 effect of drospirenone.

この相互作用をわかりやすく説明すると

Ethinyl estradiol-drospirenone and Ombitasvir / paritaprevir / ritonavir 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

Mechanism of ALT elevation is not fully established; it is a labeled hepatotoxicity signal with ethinyl estradiol and this regimen.

対処法

Do not combine; switch to a progestin-only or non-hormonal contraceptive before starting the regimen. Ethinyl estradiol products may be resumed about 2 weeks after completing therapy.

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、Ethinyl estradiol-drospirenoneとOmbitasvir / paritaprevir / ritonavir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 Ethinyl estradiol-drospirenone with Ombitasvir / paritaprevir / ritonavir?

MediHelp rates the interaction as contraindicated. Ethinyl estradiol-drospirenone and Ombitasvir / paritaprevir / ritonavir 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. Ethinyl estradiol-containing contraceptives given with this HCV regimen have been associated with significant ALT elevations. The regimen is labeled as contraindicated with ethinyl estradiol products. The interaction is hepatic rather than a CYP3A4 effect of drospirenone.

How serious is the interaction between Ethinyl estradiol-drospirenone and Ombitasvir / paritaprevir / ritonavir?

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 combine; switch to a progestin-only or non-hormonal contraceptive before starting the regimen. Ethinyl estradiol products may be resumed about 2 weeks after completing therapy.

What other medicines interact with Ethinyl estradiol-drospirenone?

MediHelp also lists interactions of Ethinyl estradiol-drospirenone with, for example, Fezolinetant, Ombitasvir / paritaprevir / ritonavir and dasabuvir, Tranexamic acid. The full list is on the Ethinyl estradiol-drospirenone page.

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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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