相互作用
Lovastatin + Miconazole
重症度: 重大
Lovastatin and Miconazole: 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
Systemic miconazole can raise lovastatin exposure and increase the risk of myopathy and rhabdomyolysis. With vaginal use absorption is limited, but case reports exist with miconazole preparations and statins.
この相互作用をわかりやすく説明すると
Lovastatin and Miconazole 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.
Lovastatin belongs to Cardiovascular; Miconazole belongs to Anti Fungals.
なぜ起こるのか
Miconazole inhibits CYP3A4 metabolism of lovastatin.
対処法
Avoid with oral or buccal miconazole; hold lovastatin during treatment. With vaginal use, monitor for muscle pain or weakness, or temporarily switch to pravastatin or rosuvastatin.
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、LovastatinとMiconazole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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Miconazoleのその他の相互作用
Lovastatinのその他の相互作用
よくある質問
Can I take Lovastatin with Miconazole?
MediHelp rates the interaction as major. Lovastatin and Miconazole 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. Systemic miconazole can raise lovastatin exposure and increase the risk of myopathy and rhabdomyolysis. With vaginal use absorption is limited, but case reports exist with miconazole preparations and statins.
How serious is the interaction between Lovastatin and Miconazole?
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 with oral or buccal miconazole; hold lovastatin during treatment. With vaginal use, monitor for muscle pain or weakness, or temporarily switch to pravastatin or rosuvastatin.
What other medicines interact with Miconazole?
MediHelp also lists interactions of Miconazole with, for example, Cabazitaxel, Dihydroergotamine intranasal, Dihydroergotamine. The full list is on the Miconazole 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。
