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Interações medicamentosas

Daridorexant + Itraconazole

Gravidade: Grave

Daridorexant and Itraconazole: major interaction.

Última atualização Fontes: UK SmPC

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

Itraconazole substantially increases daridorexant exposure, which can cause excessive sedation, next-day somnolence and impaired psychomotor performance. Labeling advises against use with strong CYP3A4 inhibitors.

O que esta interação significa em palavras simples

Daridorexant and Itraconazole 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.

Daridorexant belongs to Central Nervous System; Itraconazole belongs to Anti Fungals.

Nível de evidência: High

Por que acontece

Strong CYP3A4 inhibition reduces daridorexant metabolism.

O que fazer

Avoid the combination and use an alternative antifungal or hypnotic. If an interacting course is unavoidable, do not drive and monitor for excessive sedation.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Referências

Perguntas frequentes

Can I take Daridorexant with Itraconazole?

MediHelp rates the interaction as major. Daridorexant and Itraconazole 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. Itraconazole substantially increases daridorexant exposure, which can cause excessive sedation, next-day somnolence and impaired psychomotor performance. Labeling advises against use with strong CYP3A4 inhibitors.

How serious is the interaction between Daridorexant and Itraconazole?

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 the combination and use an alternative antifungal or hypnotic. If an interacting course is unavoidable, do not drive and monitor for excessive sedation.

What other medicines interact with Itraconazole?

MediHelp also lists interactions of Itraconazole with, for example, Alfuzosin, Alprazolam, Avanafil. The full list is on the Itraconazole page.

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