藥物交互作用
Atazanavir + Eplerenone
嚴重程度: 禁忌併用
Atazanavir and Eplerenone: contraindicated interaction.
最後更新
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摘要
Atazanavir is a strong CYP3A4 inhibitor, and eplerenone is a sensitive CYP3A4 substrate. Eplerenone exposure can rise markedly, increasing the risk of hyperkalemia. Labeling contraindicates eplerenone with strong CYP3A4 inhibitors.
用白話說明這項交互作用的意義
Atazanavir and Eplerenone 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.
Atazanavir belongs to Anti Virals; Eplerenone belongs to Cardiovascular.
為什麼會發生
Strong CYP3A4 inhibition by atazanavir reducing eplerenone metabolism.
處置方式
Do not combine; choose a different antiretroviral or a different mineralocorticoid antagonist such as spironolactone with potassium monitoring.
可向藥師詢問的問題
- 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?
Eplerenone 的其他交互作用
Atazanavir 的其他交互作用
常見問題
Can I take Atazanavir with Eplerenone?
MediHelp rates the interaction as contraindicated. Atazanavir and Eplerenone 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. Atazanavir is a strong CYP3A4 inhibitor, and eplerenone is a sensitive CYP3A4 substrate. Eplerenone exposure can rise markedly, increasing the risk of hyperkalemia. Labeling contraindicates eplerenone with strong CYP3A4 inhibitors.
How serious is the interaction between Atazanavir and Eplerenone?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not combine; choose a different antiretroviral or a different mineralocorticoid antagonist such as spironolactone with potassium monitoring.
What other medicines interact with Eplerenone?
MediHelp also lists interactions of Eplerenone with, for example, Amiloride, Clarithromycin, Cobicistat. The full list is on the Eplerenone page.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
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