藥物交互作用
Bromocriptine + Darunavir
嚴重程度: 嚴重
Bromocriptine and Darunavir: major interaction.
最後更新
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摘要
Darunavir, usually given with a booster such as ritonavir or cobicistat, strongly inhibits CYP3A4 and can raise bromocriptine exposure. Higher levels may cause nausea, hypotension, dizziness, somnolence, hallucinations and other dopaminergic adverse effects.
用白話說明這項交互作用的意義
Bromocriptine and Darunavir 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.
Bromocriptine belongs to Central Nervous System; Darunavir belongs to Anti Virals.
為什麼會發生
Inhibition of CYP3A4-mediated metabolism of bromocriptine reduces its clearance.
處置方式
Avoid the combination where possible; if it is necessary, start bromocriptine at a low dose and titrate slowly while monitoring blood pressure and CNS effects. Reduce the bromocriptine dose if adverse effects appear.
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?
Bromocriptine 的其他交互作用
Darunavir 的其他交互作用
常見問題
Can I take Bromocriptine with Darunavir?
MediHelp rates the interaction as major. Bromocriptine and Darunavir 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. Darunavir, usually given with a booster such as ritonavir or cobicistat, strongly inhibits CYP3A4 and can raise bromocriptine exposure. Higher levels may cause nausea, hypotension, dizziness, somnolence, hallucinations and other dopaminergic adverse effects.
How serious is the interaction between Bromocriptine and Darunavir?
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 where possible; if it is necessary, start bromocriptine at a low dose and titrate slowly while monitoring blood pressure and CNS effects. Reduce the bromocriptine dose if adverse effects appear.
What other medicines interact with Bromocriptine?
MediHelp also lists interactions of Bromocriptine with, for example, Amisulpride, Atazanavir, Cobicistat. The full list is on the Bromocriptine 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。
