藥物交互作用
Atazanavir + Midazolam
嚴重程度: 禁忌併用
Atazanavir and Midazolam: contraindicated interaction.
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摘要
Atazanavir inhibits CYP3A4 and increases midazolam concentrations, potentially causing prolonged sedation and respiratory depression, especially with oral midazolam.
用白話說明這項交互作用的意義
Atazanavir and Midazolam 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; Midazolam belongs to Central Nervous System.
為什麼會發生
Atazanavir inhibits CYP3A4, decreasing midazolam clearance.
處置方式
Avoid oral midazolam. Parenteral midazolam should be given as a reduced single dose with monitoring of respiratory status.
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?
Midazolam 的其他交互作用
Atazanavir 的其他交互作用
常見問題
Can I take Atazanavir with Midazolam?
MediHelp rates the interaction as contraindicated. Atazanavir and Midazolam 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 inhibits CYP3A4 and increases midazolam concentrations, potentially causing prolonged sedation and respiratory depression, especially with oral midazolam.
How serious is the interaction between Atazanavir and Midazolam?
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 oral midazolam. Parenteral midazolam should be given as a reduced single dose with monitoring of respiratory status.
What other medicines interact with Midazolam?
MediHelp also lists interactions of Midazolam with, for example, Cobicistat, Darunavir, Elvitegravir / cobicistat / emtricitabine / tenofovir df. The full list is on the Midazolam 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。
