Interações medicamentosas
Ergotamine + Lopinavir
Gravidade: Contraindicada
Ergotamine and Lopinavir: contraindicated interaction.
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Resumo
Lopinavir, boosted with ritonavir, markedly raises ergotamine exposure. This can cause ergotism with severe peripheral and cerebral vasospasm, leading to ischemia of the limbs, bowel or brain.
O que esta interação significa em palavras simples
Ergotamine and Lopinavir 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; Lopinavir belongs to Anti Virals.
Por que acontece
Inhibition of CYP3A4-mediated metabolism of ergotamine by the ritonavir-boosted protease inhibitor.
O que fazer
Do not co-administer; use a non-ergot acute migraine therapy such as a triptan-free alternative appropriate for the patient while on lopinavir/ritonavir. Seek urgent care if numbness, cold extremities or severe pain develop.
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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Outras interações de Ergotamine
- Almotriptan + Ergotamine Contraindicada
- Atazanavir + Ergotamine Contraindicada
- Clarithromycin + Ergotamine Contraindicada
- Cobicistat + Ergotamine Contraindicada
- Darunavir + Ergotamine Contraindicada
- Dihydroergotamine intranasal + Ergotamine Contraindicada
Outras interações de Lopinavir
- Alfuzosin + Lopinavir Contraindicada
- Avanafil + Lopinavir Contraindicada
- Cisapride + Lopinavir Contraindicada
- Dronedarone + Lopinavir Contraindicada
- Eletriptan + Lopinavir Contraindicada
- Eplerenone + Lopinavir Contraindicada
Perguntas frequentes
Can I take Ergotamine with Lopinavir?
MediHelp rates the interaction as contraindicated. Ergotamine and Lopinavir 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. Lopinavir, boosted with ritonavir, markedly raises ergotamine exposure. This can cause ergotism with severe peripheral and cerebral vasospasm, leading to ischemia of the limbs, bowel or brain.
How serious is the interaction between Ergotamine and Lopinavir?
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-ergot acute migraine therapy such as a triptan-free alternative appropriate for the patient while on lopinavir/ritonavir. Seek urgent care if numbness, cold extremities or severe pain develop.
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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