Interações medicamentosas
Atazanavir + Budesonide
Gravidade: Grave
Atazanavir and Budesonide: major interaction.
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Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.
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Resumo
Atazanavir, a potent CYP3A4 inhibitor boosted or not, can markedly raise systemic budesonide concentrations. This can cause iatrogenic Cushing's syndrome and adrenal suppression, even with inhaled or intranasal budesonide.
O que esta interação significa em palavras simples
Atazanavir and Budesonide 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.
Atazanavir belongs to Anti Virals; Budesonide belongs to Respiratory.
Por que acontece
Inhibition of CYP3A4-mediated first-pass and systemic metabolism of budesonide.
O que fazer
Avoid long-term combination where possible and consider an alternative corticosteroid such as beclomethasone. If combined, monitor for Cushingoid features and adrenal suppression.
O que perguntar ao farmacêutico
- 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?
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Outras interações de Budesonide
Outras interações de Atazanavir
- Alfuzosin + Atazanavir Contraindicada
- Atazanavir + Avanafil Contraindicada
- Atazanavir + Dronedarone Contraindicada
- Atazanavir + Eletriptan Contraindicada
- Atazanavir + Eplerenone Contraindicada
- Atazanavir + Ergotamine Contraindicada
Perguntas frequentes
Can I take Atazanavir with Budesonide?
MediHelp rates the interaction as major. Atazanavir and Budesonide 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. Atazanavir, a potent CYP3A4 inhibitor boosted or not, can markedly raise systemic budesonide concentrations. This can cause iatrogenic Cushing's syndrome and adrenal suppression, even with inhaled or intranasal budesonide.
How serious is the interaction between Atazanavir and Budesonide?
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 long-term combination where possible and consider an alternative corticosteroid such as beclomethasone. If combined, monitor for Cushingoid features and adrenal suppression.
What other medicines interact with Budesonide?
MediHelp also lists interactions of Budesonide with, for example, Aldesleukin, Bcg vaccine live, Ceritinib. The full list is on the Budesonide page.
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