相互作用
Miconazole + Pimozide
重症度: 重大
Miconazole and Pimozide: major interaction.
最終更新日
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概要
Vaginal or topical miconazole has low systemic absorption, but systemic exposure can occur and miconazole is a potent CYP3A4 inhibitor. Pimozide has a narrow therapeutic index and QT prolongation risk. Interaction is mainly relevant for oral or buccal miconazole.
この相互作用をわかりやすく説明すると
Miconazole and Pimozide 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.
Miconazole belongs to Anti Fungals; Pimozide belongs to Central Nervous System.
なぜ起こるのか
Miconazole inhibits CYP3A4 metabolism of pimozide, raising levels and QT prolongation risk.
対処法
Avoid systemic (oral gel, buccal) miconazole with pimozide. With vaginal use, prefer an alternative antifungal if the patient has QT risk factors.
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
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アカウントを作成してPro+トライアルを始めると、MiconazoleとPimozide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
Pimozideのその他の相互作用
よくある質問
Can I take Miconazole with Pimozide?
MediHelp rates the interaction as major. Miconazole and Pimozide 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. Vaginal or topical miconazole has low systemic absorption, but systemic exposure can occur and miconazole is a potent CYP3A4 inhibitor. Pimozide has a narrow therapeutic index and QT prolongation risk. Interaction is mainly relevant for oral or buccal miconazole.
How serious is the interaction between Miconazole and Pimozide?
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 systemic (oral gel, buccal) miconazole with pimozide. With vaginal use, prefer an alternative antifungal if the patient has QT risk factors.
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。
