Interações medicamentosas
Isavuconazole + Ketoconazole
Gravidade: Contraindicada
Isavuconazole and Ketoconazole: contraindicated interaction.
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Resumo
Ketoconazole strongly inhibits CYP3A4 and markedly increases isavuconazole exposure. This raises the risk of isavuconazole toxicity such as hepatic effects and QT shortening.
O que esta interação significa em palavras simples
Isavuconazole and Ketoconazole 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.
Isavuconazole belongs to Anti Fungals; Ketoconazole belongs to Anti Fungals.
Por que acontece
Ketoconazole inhibits CYP3A4/5, reducing isavuconazole clearance.
O que fazer
Avoid co-administration; use a single azole. If unavoidable, monitor liver function and isavuconazole-related adverse effects.
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 Isavuconazole
- Carbamazepine + Isavuconazole Contraindicada
- Efavirenz + Isavuconazole Contraindicada
- Etravirine + Isavuconazole Contraindicada
- Isavuconazole + Phenobarbitone Contraindicada
- Isavuconazole + Phenytoin Contraindicada
- Isavuconazole + Rifampicin Contraindicada
Outras interações de Ketoconazole
- Alfuzosin + Ketoconazole Contraindicada
- Alprazolam + Ketoconazole Contraindicada
- Avanafil + Ketoconazole Contraindicada
- Conivaptan + Ketoconazole Contraindicada
- Dihydroergotamine intranasal + Ketoconazole Contraindicada
- Dihydroergotamine + Ketoconazole Contraindicada
Perguntas frequentes
Can I take Isavuconazole with Ketoconazole?
MediHelp rates the interaction as contraindicated. Isavuconazole and Ketoconazole 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. Ketoconazole strongly inhibits CYP3A4 and markedly increases isavuconazole exposure. This raises the risk of isavuconazole toxicity such as hepatic effects and QT shortening.
How serious is the interaction between Isavuconazole and Ketoconazole?
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 co-administration; use a single azole. If unavoidable, monitor liver function and isavuconazole-related adverse effects.
What other medicines interact with Isavuconazole?
MediHelp also lists interactions of Isavuconazole with, for example, Carbamazepine, Efavirenz, Etravirine. The full list is on the Isavuconazole page.
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