相互作用
Flutamide + Levoketoconazole
重症度: 重大
Flutamide and Levoketoconazole: major interaction.
最終更新日
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
概要
Levoketoconazole is a strong CYP3A4 inhibitor and may raise flutamide exposure. Both drugs carry a risk of hepatotoxicity, so combined use may increase the chance of liver injury.
この相互作用をわかりやすく説明すると
Flutamide and Levoketoconazole can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Flutamide belongs to Endocrine; Levoketoconazole belongs to Endocrine.
なぜ起こるのか
Levoketoconazole strongly inhibits CYP3A4, reducing flutamide metabolism, and both drugs are hepatotoxic.
対処法
Avoid the combination if possible. If used, monitor liver function tests frequently and stop at signs of liver injury.
薬剤師に尋ねること
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、Flutamide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
WebでPro+を14日間無料でお試し。カード登録不要。
Flutamide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 Flutamide with Levoketoconazole?
MediHelp rates the interaction as major. Flutamide and Levoketoconazole can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Levoketoconazole is a strong CYP3A4 inhibitor and may raise flutamide exposure. Both drugs carry a risk of hepatotoxicity, so combined use may increase the chance of liver injury.
How serious is the interaction between Flutamide and Levoketoconazole?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination if possible. If used, monitor liver function tests frequently and stop at signs of liver injury.
What other medicines interact with Flutamide?
MediHelp also lists interactions of Flutamide with, for example, Idelalisib, Pexidartinib, Pretomanid. The full list is on the Flutamide 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。
