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藥物交互作用

Cholic acid + Colesevelam

嚴重程度: 中度

Cholic acid and Colesevelam: moderate interaction.

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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

Bile acid sequestrants bind bile acids in the gut and can reduce absorption of cholic acid, weakening its therapeutic effect in bile acid synthesis disorders.

用白話說明這項交互作用的意義

Cholic acid and Colesevelam can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Cholic acid belongs to Gastrointestinal Tract; Colesevelam belongs to Endocrine.

證據等級: Moderate

為什麼會發生

Colesevelam binds cholic acid in the gastrointestinal lumen, reducing absorption.

處置方式

Take cholic acid at least 1 hour before or 4 to 6 hours after colesevelam, and monitor liver biochemistry and clinical response.

可向藥師詢問的問題

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Cholic acid with Colesevelam?

MediHelp rates the interaction as moderate. Cholic acid and Colesevelam can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Bile acid sequestrants bind bile acids in the gut and can reduce absorption of cholic acid, weakening its therapeutic effect in bile acid synthesis disorders.

How serious is the interaction between Cholic acid and Colesevelam?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Take cholic acid at least 1 hour before or 4 to 6 hours after colesevelam, and monitor liver biochemistry and clinical response.

What other medicines interact with Colesevelam?

MediHelp also lists interactions of Colesevelam with, for example, Amlodipine-olmesartan-hydrochlorothiazide, Amlodipine-olmesartan, Chenodiol. The full list is on the Colesevelam page.

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