相互作用
Lomitapide + Micafungin
重症度: 中等度
Lomitapide and Micafungin: moderate interaction.
最終更新日
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概要
Lomitapide is highly dependent on CYP3A4 for clearance and its exposure rises markedly with inhibitors. Micafungin is only a weak inhibitor, so the effect is likely small, but increased lomitapide could worsen hepatotoxicity and gastrointestinal effects.
この相互作用をわかりやすく説明すると
Lomitapide and Micafungin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Lomitapide belongs to Cardiovascular; Micafungin belongs to Anti Fungals.
なぜ起こるのか
Possible weak inhibition of CYP3A4-mediated lomitapide metabolism by micafungin.
対処法
Monitor liver enzymes and tolerability; keep the lomitapide dose within labeled limits for use with weak CYP3A4 inhibitors.
薬剤師に尋ねること
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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、LomitapideとMicafungin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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Micafunginのその他の相互作用
Lomitapideのその他の相互作用
よくある質問
Can I take Lomitapide with Micafungin?
MediHelp rates the interaction as moderate. Lomitapide and Micafungin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Lomitapide is highly dependent on CYP3A4 for clearance and its exposure rises markedly with inhibitors. Micafungin is only a weak inhibitor, so the effect is likely small, but increased lomitapide could worsen hepatotoxicity and gastrointestinal effects.
How serious is the interaction between Lomitapide and Micafungin?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor liver enzymes and tolerability; keep the lomitapide dose within labeled limits for use with weak CYP3A4 inhibitors.
What other medicines interact with Micafungin?
MediHelp also lists interactions of Micafungin with, for example, Saccharomyces boulardii, Sirolimus, Avapritinib. The full list is on the Micafungin 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。