藥物交互作用
Bosentan + Cholic acid
嚴重程度: 嚴重
Bosentan and Cholic acid: major 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
Bosentan inhibits the bile salt export pump, which can cause accumulation of bile salts in hepatocytes. Together with cholic acid, this may worsen liver injury.
用白話說明這項交互作用的意義
Bosentan and Cholic acid 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.
Bosentan belongs to Miscellaneous; Cholic acid belongs to Gastrointestinal Tract.
為什麼會發生
Bosentan inhibits BSEP, impairing biliary bile salt efflux.
處置方式
Avoid the combination when possible; if used, monitor serum transaminases and bilirubin frequently and stop if liver injury develops.
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?
Bosentan 的其他交互作用
Cholic acid 的其他交互作用
常見問題
Can I take Bosentan with Cholic acid?
MediHelp rates the interaction as major. Bosentan and Cholic acid 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. Bosentan inhibits the bile salt export pump, which can cause accumulation of bile salts in hepatocytes. Together with cholic acid, this may worsen liver injury.
How serious is the interaction between Bosentan and Cholic acid?
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 when possible; if used, monitor serum transaminases and bilirubin frequently and stop if liver injury develops.
What other medicines interact with Bosentan?
MediHelp also lists interactions of Bosentan with, for example, Cyclosporin, Cyclosporine, Glyburide. The full list is on the Bosentan 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。
