藥物交互作用
Amobarbital + Nevirapine
嚴重程度: 嚴重
Amobarbital and Nevirapine: major interaction.
最後更新
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本頁的臨床內容僅提供英文版。
摘要
Amobarbital is an enzyme inducer and may lower nevirapine concentrations, risking virologic failure and resistance. Nevirapine may also affect barbiturate levels, but the main concern is loss of antiretroviral efficacy.
用白話說明這項交互作用的意義
Amobarbital and Nevirapine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Amobarbital belongs to Central Nervous System; Nevirapine belongs to Anti Virals.
為什麼會發生
Barbiturates induce CYP3A4 and CYP2B6, increasing nevirapine clearance.
處置方式
Avoid the combination if possible and use a non-inducing sedative or anticonvulsant. If unavoidable, monitor HIV viral load and consider nevirapine concentrations.
可向藥師詢問的問題
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
Nevirapine 的其他交互作用
Amobarbital 的其他交互作用
常見問題
Can I take Amobarbital with Nevirapine?
MediHelp rates the interaction as major. Amobarbital and Nevirapine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Amobarbital is an enzyme inducer and may lower nevirapine concentrations, risking virologic failure and resistance. Nevirapine may also affect barbiturate levels, but the main concern is loss of antiretroviral efficacy.
How serious is the interaction between Amobarbital and Nevirapine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination if possible and use a non-inducing sedative or anticonvulsant. If unavoidable, monitor HIV viral load and consider nevirapine concentrations.
What other medicines interact with Nevirapine?
MediHelp also lists interactions of Nevirapine with, for example, Elbasvir / grazoprevir, Ranolazine, St john's wort. The full list is on the Nevirapine page.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
在 MediHelp App 中開啟完整參考資料、檢查多種藥物間的交互作用，並使用劑量工具。
