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Interações medicamentosas

Dihydroergotamine + Efavirenz

Gravidade: Contraindicada

Dihydroergotamine and Efavirenz: contraindicated interaction.

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Resumo

Efavirenz alters CYP3A4 activity and may change dihydroergotamine exposure unpredictably. Elevated ergot levels risk severe peripheral and cerebral ischemia, so the combination is avoided.

O que esta interação significa em palavras simples

Dihydroergotamine and Efavirenz 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.

Dihydroergotamine belongs to Central Nervous System; Efavirenz belongs to Anti Virals.

Nível de evidência: Low

Por que acontece

Efavirenz modulation of CYP3A4 metabolism of dihydroergotamine.

O que fazer

Avoid and treat migraine with a non-ergot alternative such as a triptan, taking its interactions into account.

O que perguntar ao farmacêutico

  • 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?

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

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Perguntas frequentes

Can I take Dihydroergotamine with Efavirenz?

MediHelp rates the interaction as contraindicated. Dihydroergotamine and Efavirenz 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. Efavirenz alters CYP3A4 activity and may change dihydroergotamine exposure unpredictably. Elevated ergot levels risk severe peripheral and cerebral ischemia, so the combination is avoided.

How serious is the interaction between Dihydroergotamine and Efavirenz?

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 and treat migraine with a non-ergot alternative such as a triptan, taking its interactions into account.

What other medicines interact with Efavirenz?

MediHelp also lists interactions of Efavirenz with, for example, Cobimetinib, Dienogest / estradiol valerate, Dihydroergotamine intranasal. The full list is on the Efavirenz page.

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