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相互作用

Isavuconazonium + Rifampicin

重症度: 併用禁忌

Isavuconazonium and Rifampicin: contraindicated interaction.

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概要

Rifampicin strongly induces CYP3A4 and dramatically lowers isavuconazole exposure after isavuconazonium administration. This risks failure of therapy for invasive fungal infection.

この相互作用をわかりやすく説明すると

Isavuconazonium and Rifampicin 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.

Isavuconazonium belongs to Anti Fungals; Rifampicin belongs to Anti Bacterial.

エビデンスレベル: High

なぜ起こるのか

Potent induction of CYP3A4/5 by rifampicin increases isavuconazole clearance.

対処法

Do not coadminister; use an alternative antimycobacterial agent or antifungal.

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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  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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よくある質問

Can I take Isavuconazonium with Rifampicin?

MediHelp rates the interaction as contraindicated. Isavuconazonium and Rifampicin 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. Rifampicin strongly induces CYP3A4 and dramatically lowers isavuconazole exposure after isavuconazonium administration. This risks failure of therapy for invasive fungal infection.

How serious is the interaction between Isavuconazonium and Rifampicin?

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 coadminister; use an alternative antimycobacterial agent or antifungal.

What other medicines interact with Isavuconazonium?

MediHelp also lists interactions of Isavuconazonium with, for example, Amobarbital, Apalutamide, Carbamazepine. The full list is on the Isavuconazonium 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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