藥物交互作用
Clopidogrel + Daprodustat
嚴重程度: 中度
Clopidogrel and Daprodustat: moderate interaction.
最後更新
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摘要
The acyl glucuronide metabolite of clopidogrel inhibits CYP2C8, the main enzyme that clears daprodustat. Exposure to daprodustat can rise, with a greater risk of excessive hemoglobin response and related adverse effects such as thrombotic events.
用白話說明這項交互作用的意義
Clopidogrel and Daprodustat 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.
Clopidogrel belongs to Cardiovascular; Daprodustat belongs to Endocrine.
為什麼會發生
Inhibition of CYP2C8-mediated metabolism of daprodustat by clopidogrel and its glucuronide metabolite.
處置方式
Reduce the daprodustat starting dose as per labeling for moderate CYP2C8 inhibitors. Monitor hemoglobin and adjust the dose when clopidogrel is started or stopped.
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?
Clopidogrel 的其他交互作用
Daprodustat 的其他交互作用
常見問題
Can I take Clopidogrel with Daprodustat?
MediHelp rates the interaction as moderate. Clopidogrel and Daprodustat 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. The acyl glucuronide metabolite of clopidogrel inhibits CYP2C8, the main enzyme that clears daprodustat. Exposure to daprodustat can rise, with a greater risk of excessive hemoglobin response and related adverse effects such as thrombotic events.
How serious is the interaction between Clopidogrel and Daprodustat?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce the daprodustat starting dose as per labeling for moderate CYP2C8 inhibitors. Monitor hemoglobin and adjust the dose when clopidogrel is started or stopped.
What other medicines interact with Clopidogrel?
MediHelp also lists interactions of Clopidogrel with, for example, Ombitasvir / paritaprevir / ritonavir and dasabuvir, Abrocitinib, Acetylsalicylic acid. The full list is on the Clopidogrel page.
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