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相互作用

Isotretinoin + Lomitapide

重症度: 重大

Isotretinoin and Lomitapide: major interaction.

最終更新日

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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

Both drugs can cause liver enzyme elevations and hepatotoxicity. Using them together may increase the risk or severity of liver injury, which is already a boxed concern with lomitapide.

この相互作用をわかりやすく説明すると

Isotretinoin and Lomitapide 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.

Isotretinoin belongs to Dermatology; Lomitapide belongs to Cardiovascular.

エビデンスレベル: Low

なぜ起こるのか

Additive hepatotoxicity from two agents that can independently injure the liver.

対処法

Avoid the combination where possible; if it is necessary, monitor ALT, AST and bilirubin more frequently than usual. Interrupt treatment if transaminases rise significantly.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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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、IsotretinoinとLomitapide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 Isotretinoin with Lomitapide?

MediHelp rates the interaction as major. Isotretinoin and Lomitapide 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. Both drugs can cause liver enzyme elevations and hepatotoxicity. Using them together may increase the risk or severity of liver injury, which is already a boxed concern with lomitapide.

How serious is the interaction between Isotretinoin and Lomitapide?

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 where possible; if it is necessary, monitor ALT, AST and bilirubin more frequently than usual. Interrupt treatment if transaminases rise significantly.

What other medicines interact with Lomitapide?

MediHelp also lists interactions of Lomitapide with, for example, Aprepitant, Clarithromycin, Crizotinib. The full list is on the Lomitapide 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。

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