Interações medicamentosas
Digoxin + Remibrutinib
Gravidade: Moderada
Digoxin and Remibrutinib: moderate interaction.
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Resumo
Remibrutinib inhibits P-glycoprotein and may increase digoxin concentrations. Digoxin has a narrow therapeutic index, so higher levels may cause toxicity such as arrhythmias, nausea and visual disturbances.
O que esta interação significa em palavras simples
Digoxin and Remibrutinib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Digoxin belongs to Cardiovascular; Remibrutinib belongs to Oncology.
Por que acontece
P-glycoprotein inhibition reduces digoxin efflux and renal clearance, increasing exposure.
O que fazer
Monitor serum digoxin concentrations and signs of toxicity when starting or stopping remibrutinib. Reduce the digoxin dose if concentrations rise.
O que perguntar ao farmacêutico
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Outras interações de Digoxin
- Digoxin + Lily of the valley Contraindicada
- Digoxin + Squill Contraindicada
- Adagrasib + Digoxin Grave
- Amiodarone + Digoxin Grave
- Amlodipine-hydrochlorothiazide-valsartan + Digoxin Grave
- Amphotericin b deoxycholate + Digoxin Grave
Perguntas frequentes
Can I take Digoxin with Remibrutinib?
MediHelp rates the interaction as moderate. Digoxin and Remibrutinib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Remibrutinib inhibits P-glycoprotein and may increase digoxin concentrations. Digoxin has a narrow therapeutic index, so higher levels may cause toxicity such as arrhythmias, nausea and visual disturbances.
How serious is the interaction between Digoxin and Remibrutinib?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum digoxin concentrations and signs of toxicity when starting or stopping remibrutinib. Reduce the digoxin dose if concentrations rise.
What other medicines interact with Digoxin?
MediHelp also lists interactions of Digoxin with, for example, Lily of the valley, Squill, Adagrasib. The full list is on the Digoxin page.
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