藥物交互作用
Clarithromycin + Paricalcitol
嚴重程度: 中度
Clarithromycin and Paricalcitol: moderate interaction.
最後更新
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摘要
Paricalcitol is partly metabolized by CYP3A4, so clarithromycin may raise its exposure. This could lead to hypercalcemia or hyperphosphatemia, particularly with prolonged use.
用白話說明這項交互作用的意義
Clarithromycin and Paricalcitol 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.
Clarithromycin belongs to Anti Bacterial; Paricalcitol belongs to Musculoskeletal.
為什麼會發生
Clarithromycin inhibits CYP3A4 metabolism of paricalcitol.
處置方式
Monitor serum calcium, phosphate and PTH during and after the antibiotic course, and lower the paricalcitol dose if hypercalcemia develops.
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?
Clarithromycin 的其他交互作用
Paricalcitol 的其他交互作用
常見問題
Can I take Clarithromycin with Paricalcitol?
MediHelp rates the interaction as moderate. Clarithromycin and Paricalcitol 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. Paricalcitol is partly metabolized by CYP3A4, so clarithromycin may raise its exposure. This could lead to hypercalcemia or hyperphosphatemia, particularly with prolonged use.
How serious is the interaction between Clarithromycin and Paricalcitol?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum calcium, phosphate and PTH during and after the antibiotic course, and lower the paricalcitol dose if hypercalcemia develops.
What other medicines interact with Clarithromycin?
MediHelp also lists interactions of Clarithromycin with, for example, Astemizole, Avanafil, Cisapride. The full list is on the Clarithromycin 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。
