藥物交互作用
Bosentan + Norethisterone
嚴重程度: 嚴重
Bosentan and Norethisterone: 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 may lower norethisterone exposure and reduce contraceptive reliability. Bosentan is also teratogenic, so contraceptive failure is a particular concern.
用白話說明這項交互作用的意義
Bosentan and Norethisterone 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; Norethisterone belongs to Endocrine.
為什麼會發生
Bosentan induces CYP3A4, increasing norethisterone clearance.
處置方式
Do not rely on hormonal contraception alone, and use an additional or alternative non-hormonal method. Perform pregnancy testing as required by bosentan labeling.
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?
Norethisterone 的其他交互作用
Bosentan 的其他交互作用
常見問題
Can I take Bosentan with Norethisterone?
MediHelp rates the interaction as major. Bosentan and Norethisterone 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 may lower norethisterone exposure and reduce contraceptive reliability. Bosentan is also teratogenic, so contraceptive failure is a particular concern.
How serious is the interaction between Bosentan and Norethisterone?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not rely on hormonal contraception alone, and use an additional or alternative non-hormonal method. Perform pregnancy testing as required by bosentan labeling.
What other medicines interact with Norethisterone?
MediHelp also lists interactions of Norethisterone with, for example, Acitretin, Amobarbital, Apalutamide. The full list is on the Norethisterone 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。
