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Interações medicamentosas

Elagolix + Gemfibrozil

Gravidade: Contraindicada

Elagolix and Gemfibrozil: contraindicated interaction.

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Resumo

Gemfibrozil raises elagolix plasma concentrations substantially. Higher elagolix exposure increases the risk of dose-related adverse effects such as bone mineral density loss, hepatic transaminase elevation and mood changes. Labeling lists strong OATP1B1 inhibitors as contraindicated.

O que esta interação significa em palavras simples

Elagolix and Gemfibrozil 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.

Elagolix belongs to Musculoskeletal; Gemfibrozil belongs to Cardiovascular.

Nível de evidência: High

Por que acontece

Gemfibrozil inhibits hepatic OATP1B1 uptake of elagolix, reducing its hepatic clearance and increasing systemic exposure.

O que fazer

Do not co-administer elagolix with gemfibrozil. Choose a different lipid-lowering agent such as a statin or fenofibrate, or an alternative therapy for endometriosis.

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?

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Perguntas frequentes

Can I take Elagolix with Gemfibrozil?

MediHelp rates the interaction as contraindicated. Elagolix and Gemfibrozil 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. Gemfibrozil raises elagolix plasma concentrations substantially. Higher elagolix exposure increases the risk of dose-related adverse effects such as bone mineral density loss, hepatic transaminase elevation and mood changes. Labeling lists strong OATP1B1 inhibitors as contraindicated.

How serious is the interaction between Elagolix and Gemfibrozil?

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 elagolix with gemfibrozil. Choose a different lipid-lowering agent such as a statin or fenofibrate, or an alternative therapy for endometriosis.

What other medicines interact with Gemfibrozil?

MediHelp also lists interactions of Gemfibrozil with, for example, Daprodustat, Mavacamten, Metformin-repaglinide. The full list is on the Gemfibrozil page.

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