藥物交互作用
Caffeine + Fezolinetant
嚴重程度: 嚴重
Caffeine and Fezolinetant: major interaction.
最後更新
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本頁的臨床內容僅提供英文版。
摘要
Fezolinetant is cleared mainly by CYP1A2, and caffeine is a CYP1A2 substrate that can compete for this enzyme. Reduced clearance could raise fezolinetant exposure and increase the risk of adverse effects including liver injury. The labeled contraindication concerns CYP1A2 inhibitors; ordinary dietary caffeine is a weak interaction, but it is flagged here.
用白話說明這項交互作用的意義
Caffeine and Fezolinetant 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.
Caffeine belongs to Miscellaneous; Fezolinetant belongs to Endocrine.
為什麼會發生
Competition for CYP1A2 metabolism may reduce fezolinetant clearance and increase its plasma concentrations.
處置方式
Counsel patients to limit caffeine intake, especially high doses or caffeine-containing medicines, during fezolinetant therapy. Monitor liver tests per fezolinetant labeling and for adverse effects.
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?
Caffeine 的其他交互作用
Fezolinetant 的其他交互作用
常見問題
Can I take Caffeine with Fezolinetant?
MediHelp rates the interaction as major. Caffeine and Fezolinetant 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. Fezolinetant is cleared mainly by CYP1A2, and caffeine is a CYP1A2 substrate that can compete for this enzyme. Reduced clearance could raise fezolinetant exposure and increase the risk of adverse effects including liver injury. The labeled contraindication concerns CYP1A2 inhibitors; ordinary dietary caffeine is a weak interaction, but it is flagged here.
How serious is the interaction between Caffeine and Fezolinetant?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Counsel patients to limit caffeine intake, especially high doses or caffeine-containing medicines, during fezolinetant therapy. Monitor liver tests per fezolinetant labeling and for adverse effects.
What other medicines interact with Caffeine?
MediHelp also lists interactions of Caffeine with, for example, Ephedrine, Methylenedioxymethamphetamine, Selegiline transdermal. The full list is on the Caffeine page.
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