藥物交互作用
Bosentan + Glyburide
嚴重程度: 禁忌併用
Bosentan and Glyburide: contraindicated interaction.
最後更新
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摘要
Bosentan lowers glyburide exposure through CYP induction, weakening glycaemic control, and the pairing is associated with a higher rate of liver aminotransferase elevations. Bosentan labelling lists glyburide as contraindicated.
用白話說明這項交互作用的意義
Bosentan and Glyburide 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.
Bosentan belongs to Miscellaneous; Glyburide belongs to Endocrine.
為什麼會發生
Bosentan CYP2C9/3A4 induction reduces glibenclamide levels; additive hepatocellular toxicity
處置方式
Do not combine; use a different hypoglycaemic agent (for example insulin or a non-sulfonylurea) and monitor liver tests per bosentan labelling.
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?
Glyburide 的其他交互作用
Bosentan 的其他交互作用
常見問題
Can I take Bosentan with Glyburide?
MediHelp rates the interaction as contraindicated. Bosentan and Glyburide 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. Bosentan lowers glyburide exposure through CYP induction, weakening glycaemic control, and the pairing is associated with a higher rate of liver aminotransferase elevations. Bosentan labelling lists glyburide as contraindicated.
How serious is the interaction between Bosentan and Glyburide?
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; use a different hypoglycaemic agent (for example insulin or a non-sulfonylurea) and monitor liver tests per bosentan labelling.
What other medicines interact with Glyburide?
MediHelp also lists interactions of Glyburide with, for example, Cholic acid, Ciprofloxacin, Clarithromycin. The full list is on the Glyburide 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。
