相互作用
Ivabradine + Nelfinavir
重症度: 併用禁忌
Ivabradine and Nelfinavir: contraindicated interaction.
最終更新日
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概要
Nelfinavir inhibits CYP3A4 strongly enough to raise ivabradine exposure substantially. This may provoke severe bradycardia and conduction disturbances.
この相互作用をわかりやすく説明すると
Ivabradine and Nelfinavir 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.
Ivabradine belongs to Cardiovascular; Nelfinavir belongs to Anti Virals.
なぜ起こるのか
CYP3A4 inhibition reduces ivabradine metabolism.
対処法
Avoid the combination and choose an alternative agent.
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
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、IvabradineとNelfinavir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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Ivabradineのその他の相互作用
Nelfinavirのその他の相互作用
よくある質問
Can I take Ivabradine with Nelfinavir?
MediHelp rates the interaction as contraindicated. Ivabradine and Nelfinavir 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. Nelfinavir inhibits CYP3A4 strongly enough to raise ivabradine exposure substantially. This may provoke severe bradycardia and conduction disturbances.
How serious is the interaction between Ivabradine and Nelfinavir?
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 and choose an alternative agent.
What other medicines interact with Ivabradine?
MediHelp also lists interactions of Ivabradine with, for example, Atazanavir, Clarithromycin, Cobicistat. The full list is on the Ivabradine 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。
