Interações medicamentosas
Doravirine + Phenytoin
Gravidade: Contraindicada
Doravirine and Phenytoin: contraindicated interaction.
Última atualização
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.
O conteúdo clínico desta página está disponível apenas em inglês.
Resumo
Phenytoin markedly lowers doravirine concentrations, which may result in loss of virologic response and NNRTI resistance.
O que esta interação significa em palavras simples
Doravirine and Phenytoin 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.
Doravirine belongs to Anti Virals; Phenytoin belongs to Central Nervous System.
Por que acontece
Phenytoin induces CYP3A4, which is the main metabolic pathway of doravirine.
O que fazer
Do not co-administer; use a non-inducing anticonvulsant. Doravirine labeling also advises against starting it soon after inducer discontinuation until induction wanes.
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?
Para assinantes do Pro+
Desbloqueie a página completa
Crie uma conta e comece um teste do Pro+ para desbloquear a orientação completa de conduta para Doravirine e Phenytoin, as notas adicionais, os detalhes da evidência e o verificador de interações para uma prescrição completa.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Experimente o Pro+ grátis por 14 dias na web. Sem cartão.
Outras interações de Phenytoin
- Artemether / lumefantrine + Phenytoin Contraindicada
- Bictegravir + Phenytoin Contraindicada
- Cabotegravir + Phenytoin Contraindicada
- Elbasvir / grazoprevir + Phenytoin Contraindicada
- Elvitegravir / cobicistat / emtricitabine / tenofovir df + Phenytoin Contraindicada
- Ensitrelvir + Phenytoin Contraindicada
Outras interações de Doravirine
- Amobarbital + Doravirine Contraindicada
- Apalutamide + Doravirine Contraindicada
- Carbamazepine + Doravirine Contraindicada
- Doravirine + Efavirenz Contraindicada
- Doravirine + Enzalutamide Contraindicada
- Doravirine + Mitotane Contraindicada
Perguntas frequentes
Can I take Doravirine with Phenytoin?
MediHelp rates the interaction as contraindicated. Doravirine and Phenytoin 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. Phenytoin markedly lowers doravirine concentrations, which may result in loss of virologic response and NNRTI resistance.
How serious is the interaction between Doravirine and Phenytoin?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not co-administer; use a non-inducing anticonvulsant. Doravirine labeling also advises against starting it soon after inducer discontinuation until induction wanes.
What other medicines interact with Phenytoin?
MediHelp also lists interactions of Phenytoin with, for example, Artemether / lumefantrine, Bictegravir, Cabotegravir. The full list is on the Phenytoin page.
Monografias completas, posologia e verificador de interações no app MediHelp
Abra a referência completa, verifique interações entre vários medicamentos e use as ferramentas de posologia no app MediHelp.