相互作用
Everolimus + Levoketoconazole
重症度: 併用禁忌
Everolimus and Levoketoconazole: contraindicated interaction.
最終更新日
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概要
Levoketoconazole is a strong CYP3A4 and P-glycoprotein inhibitor and is expected to markedly raise everolimus concentrations. Higher exposure increases the risk of serious adverse effects including infections, stomatitis, pneumonitis and metabolic disturbances.
この相互作用をわかりやすく説明すると
Everolimus and Levoketoconazole 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.
Everolimus belongs to Oncology; Levoketoconazole belongs to Endocrine.
なぜ起こるのか
Strong inhibition of CYP3A4 and P-glycoprotein by levoketoconazole reduces everolimus clearance.
対処法
Avoid the combination; use an alternative to levoketoconazole or everolimus. Strong inhibitors such as ketoconazole are to be avoided with everolimus per labeling.
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、EverolimusとLevoketoconazole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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Everolimusのその他の相互作用
Levoketoconazoleのその他の相互作用
よくある質問
Can I take Everolimus with Levoketoconazole?
MediHelp rates the interaction as contraindicated. Everolimus and Levoketoconazole 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. Levoketoconazole is a strong CYP3A4 and P-glycoprotein inhibitor and is expected to markedly raise everolimus concentrations. Higher exposure increases the risk of serious adverse effects including infections, stomatitis, pneumonitis and metabolic disturbances.
How serious is the interaction between Everolimus and Levoketoconazole?
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 the combination; use an alternative to levoketoconazole or everolimus. Strong inhibitors such as ketoconazole are to be avoided with everolimus per labeling.
What other medicines interact with Everolimus?
MediHelp also lists interactions of Everolimus with, for example, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal, Measles mumps and rubella vaccine live. The full list is on the Everolimus 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。
