藥物交互作用
Clarithromycin + Darifenacin
嚴重程度: 嚴重
Clarithromycin and Darifenacin: major interaction.
最後更新
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摘要
Clarithromycin is a strong CYP3A4 inhibitor and increases darifenacin exposure. This raises the risk of anticholinergic adverse effects.
用白話說明這項交互作用的意義
Clarithromycin and Darifenacin 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.
Clarithromycin belongs to Anti Bacterial; Darifenacin belongs to Genitourinary.
為什麼會發生
Strong CYP3A4 inhibition by clarithromycin reduces darifenacin clearance.
處置方式
Limit darifenacin to 7.5 mg daily during clarithromycin, or use an alternative macrolide such as azithromycin. Monitor for dry mouth, constipation, urinary retention and cognitive 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?
Darifenacin 的其他交互作用
Clarithromycin 的其他交互作用
常見問題
Can I take Clarithromycin with Darifenacin?
MediHelp rates the interaction as major. Clarithromycin and Darifenacin 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. Clarithromycin is a strong CYP3A4 inhibitor and increases darifenacin exposure. This raises the risk of anticholinergic adverse effects.
How serious is the interaction between Clarithromycin and Darifenacin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Limit darifenacin to 7.5 mg daily during clarithromycin, or use an alternative macrolide such as azithromycin. Monitor for dry mouth, constipation, urinary retention and cognitive effects.
What other medicines interact with Darifenacin?
MediHelp also lists interactions of Darifenacin with, for example, Atazanavir, Bethanechol, Clozapine. The full list is on the Darifenacin 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。
