Лекарственные взаимодействия
Ethinyl estradiol-norgestimate + Ombitasvir / paritaprevir / ritonavir and dasabuvir
Тяжесть: Противопоказано
Ethinyl estradiol-norgestimate and Ombitasvir / paritaprevir / ritonavir and dasabuvir: contraindicated interaction.
Последнее обновление
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Кратко
Coadministration of ethinyl estradiol-containing products with this HCV regimen has produced marked ALT elevations in clinical trials. The risk of liver injury makes the combination unsuitable. Ritonavir may also reduce contraceptive hormone exposure.
Что означает это взаимодействие простыми словами
Ethinyl estradiol-norgestimate and Ombitasvir / paritaprevir / ritonavir and dasabuvir 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.
Почему это происходит
The mechanism of the ALT elevation is not established; ritonavir may also alter estrogen metabolism.
Что делать
Avoid ethinyl estradiol-containing contraceptives before and during this regimen. Switch to a progestin-only or non-hormonal method and restart estrogen only after the regimen has been completed, as advised in the labeling.
О чём спросить фармацевта
- 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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Другие взаимодействия Ethinyl estradiol-norgestimate
- Ethinyl estradiol-norgestimate + Fezolinetant Противопоказано
- Ethinyl estradiol-norgestimate + Tranexamic acid Противопоказано
- Aminocaproic acid + Ethinyl estradiol-norgestimate Тяжёлое
- Amobarbital + Ethinyl estradiol-norgestimate Тяжёлое
- Anastrozole + Ethinyl estradiol-norgestimate Тяжёлое
- Apalutamide + Ethinyl estradiol-norgestimate Тяжёлое
Частые вопросы
Can I take Ethinyl estradiol-norgestimate with Ombitasvir / paritaprevir / ritonavir and dasabuvir?
MediHelp rates the interaction as contraindicated. Ethinyl estradiol-norgestimate and Ombitasvir / paritaprevir / ritonavir and dasabuvir 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. Coadministration of ethinyl estradiol-containing products with this HCV regimen has produced marked ALT elevations in clinical trials. The risk of liver injury makes the combination unsuitable. Ritonavir may also reduce contraceptive hormone exposure.
How serious is the interaction between Ethinyl estradiol-norgestimate and Ombitasvir / paritaprevir / ritonavir and dasabuvir?
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 ethinyl estradiol-containing contraceptives before and during this regimen. Switch to a progestin-only or non-hormonal method and restart estrogen only after the regimen has been completed, as advised in the labeling.
What other medicines interact with Ethinyl estradiol-norgestimate?
MediHelp also lists interactions of Ethinyl estradiol-norgestimate with, for example, Fezolinetant, Tranexamic acid, Aminocaproic acid. The full list is on the Ethinyl estradiol-norgestimate page.
Полные монографии, дозировки и проверка взаимодействий в приложении MediHelp
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