相互作用
Lurasidone + Primidone
重症度: 併用禁忌
Lurasidone and Primidone: contraindicated interaction.
最終更新日
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概要
Primidone is metabolized to phenobarbital, which induces CYP3A4 and may reduce lurasidone concentrations. This can lead to inadequate antipsychotic effect and relapse. Strong CYP3A4 inducers are contraindicated with lurasidone.
この相互作用をわかりやすく説明すると
Lurasidone and Primidone 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.
Lurasidone belongs to Central Nervous System; Primidone belongs to Central Nervous System.
なぜ起こるのか
Induction of CYP3A4 by primidone and its phenobarbital metabolite increases lurasidone clearance.
対処法
Avoid the combination; consider a non-inducing anticonvulsant or an alternative antipsychotic and monitor symptom control.
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、LurasidoneとPrimidone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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Lurasidoneのその他の相互作用
Primidoneのその他の相互作用
よくある質問
Can I take Lurasidone with Primidone?
MediHelp rates the interaction as contraindicated. Lurasidone and Primidone 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. Primidone is metabolized to phenobarbital, which induces CYP3A4 and may reduce lurasidone concentrations. This can lead to inadequate antipsychotic effect and relapse. Strong CYP3A4 inducers are contraindicated with lurasidone.
How serious is the interaction between Lurasidone and Primidone?
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; consider a non-inducing anticonvulsant or an alternative antipsychotic and monitor symptom control.
What other medicines interact with Lurasidone?
MediHelp also lists interactions of Lurasidone with, for example, Apalutamide, Atazanavir, Carbamazepine. The full list is on the Lurasidone 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。
