相互作用
Gliclazide + Voriconazole
重症度: 重大
Gliclazide and Voriconazole: major interaction.
最終更新日
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概要
Voriconazole can raise gliclazide concentrations, increasing the risk of prolonged or severe hypoglycemia. Gliclazide is cleared by CYP2C9 and CYP2C19, both inhibited by voriconazole.
この相互作用をわかりやすく説明すると
Gliclazide and Voriconazole 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.
Gliclazide belongs to Endocrine; Voriconazole belongs to Anti Fungals.
なぜ起こるのか
Voriconazole inhibits CYP2C9 and CYP2C19, reducing gliclazide metabolism.
対処法
Monitor blood glucose closely and consider reducing the gliclazide dose during voriconazole therapy. Re-adjust after voriconazole is stopped.
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、GliclazideとVoriconazole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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Gliclazideのその他の相互作用
Voriconazoleのその他の相互作用
よくある質問
Can I take Gliclazide with Voriconazole?
MediHelp rates the interaction as major. Gliclazide and Voriconazole 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. Voriconazole can raise gliclazide concentrations, increasing the risk of prolonged or severe hypoglycemia. Gliclazide is cleared by CYP2C9 and CYP2C19, both inhibited by voriconazole.
How serious is the interaction between Gliclazide and Voriconazole?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose closely and consider reducing the gliclazide dose during voriconazole therapy. Re-adjust after voriconazole is stopped.
What other medicines interact with Gliclazide?
MediHelp also lists interactions of Gliclazide with, for example, Ciprofloxacin, Clarithromycin, Disopyramide. The full list is on the Gliclazide 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。
