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Interações medicamentosas

Red yeast rice + Tipranavir

Gravidade: Contraindicada

Red yeast rice and Tipranavir: 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.

O conteúdo clínico desta página está disponível apenas em inglês.

Resumo

Red yeast rice contains monacolin K, identical to lovastatin, a CYP3A4 substrate. Tipranavir, given with ritonavir, strongly inhibits CYP3A4 and may substantially raise monacolin K levels, increasing the risk of muscle toxicity and rhabdomyolysis.

O que esta interação significa em palavras simples

Red yeast rice and Tipranavir 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.

Red yeast rice belongs to Gastrointestinal Tract; Tipranavir belongs to Anti Virals.

Nível de evidência: Moderate

Por que acontece

Ritonavir-boosted tipranavir inhibits CYP3A4, increasing monacolin K (lovastatin) exposure.

O que fazer

Avoid red yeast rice during tipranavir therapy. If a statin is needed, select one not reliant on CYP3A4 and monitor for muscle symptoms.

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 Red yeast rice with Tipranavir?

MediHelp rates the interaction as contraindicated. Red yeast rice and Tipranavir 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. Red yeast rice contains monacolin K, identical to lovastatin, a CYP3A4 substrate. Tipranavir, given with ritonavir, strongly inhibits CYP3A4 and may substantially raise monacolin K levels, increasing the risk of muscle toxicity and rhabdomyolysis.

How serious is the interaction between Red yeast rice and Tipranavir?

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 red yeast rice during tipranavir therapy. If a statin is needed, select one not reliant on CYP3A4 and monitor for muscle symptoms.

What other medicines interact with Red yeast rice?

MediHelp also lists interactions of Red yeast rice with, for example, Ritonavir, Saquinavir, Atazanavir. The full list is on the Red yeast rice page.

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