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藥物交互作用

Artesunate + Phenytoin

嚴重程度: 中度

Artesunate and Phenytoin: moderate interaction.

最後更新

僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

摘要

Phenytoin induces UGT enzymes that convert active dihydroartemisinin to its glucuronide. Exposure to the active metabolite may fall, potentially reducing antimalarial efficacy.

用白話說明這項交互作用的意義

Artesunate and Phenytoin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Artesunate belongs to Anti Parasitic; Phenytoin belongs to Central Nervous System.

證據等級: Moderate

為什麼會發生

UGT induction by phenytoin increases clearance of dihydroartemisinin, the active artesunate metabolite.

處置方式

Monitor for treatment failure and parasitological response in severe malaria. Consider an alternative anticonvulsant if feasible.

可向藥師詢問的問題

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

Pro+ 會員專屬

解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Artesunate 與 Phenytoin 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Artesunate with Phenytoin?

MediHelp rates the interaction as moderate. Artesunate and Phenytoin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Phenytoin induces UGT enzymes that convert active dihydroartemisinin to its glucuronide. Exposure to the active metabolite may fall, potentially reducing antimalarial efficacy.

How serious is the interaction between Artesunate and Phenytoin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for treatment failure and parasitological response in severe malaria. Consider an alternative anticonvulsant if feasible.

What other medicines interact with Phenytoin?

MediHelp also lists interactions of Phenytoin with, for example, Artemether / lumefantrine, Bictegravir, Cabotegravir. The full list is on the Phenytoin page.

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