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Interações medicamentosas

Ergotamine + Letermovir

Gravidade: Contraindicada

Ergotamine and Letermovir: contraindicated interaction.

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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

Letermovir can raise ergotamine exposure by inhibiting its CYP3A-mediated clearance. Higher ergotamine levels increase the risk of ergotism, with severe peripheral vasospasm and tissue ischemia.

O que esta interação significa em palavras simples

Ergotamine and Letermovir 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.

Ergotamine belongs to Central Nervous System; Letermovir belongs to Anti Virals.

Nível de evidência: Moderate

Por que acontece

Letermovir inhibits CYP3A4, reducing the metabolism of ergotamine.

O que fazer

Do not co-administer ergot alkaloids with letermovir; use a non-ergot agent for migraine during letermovir therapy.

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 Ergotamine with Letermovir?

MediHelp rates the interaction as contraindicated. Ergotamine and Letermovir 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. Letermovir can raise ergotamine exposure by inhibiting its CYP3A-mediated clearance. Higher ergotamine levels increase the risk of ergotism, with severe peripheral vasospasm and tissue ischemia.

How serious is the interaction between Ergotamine and Letermovir?

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 ergot alkaloids with letermovir; use a non-ergot agent for migraine during letermovir therapy.

What other medicines interact with Ergotamine?

MediHelp also lists interactions of Ergotamine with, for example, Almotriptan, Atazanavir, Clarithromycin. The full list is on the Ergotamine page.

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