藥物交互作用
Clopidogrel + Selexipag
嚴重程度: 中度
Clopidogrel and Selexipag: moderate interaction.
最後更新
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摘要
Clopidogrel is a strong CYP2C8 inhibitor through its glucuronide metabolite, and selexipag and its active metabolite are CYP2C8 substrates. Exposure to the active metabolite of selexipag can increase markedly, raising the risk of prostacyclin-type adverse effects such as headache, diarrhea, nausea and jaw pain.
用白話說明這項交互作用的意義
Clopidogrel and Selexipag 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; Selexipag belongs to Cardiovascular.
為什麼會發生
Clopidogrel acyl-glucuronide inhibits CYP2C8, reducing metabolism of selexipag and its active metabolite.
處置方式
Monitor for selexipag adverse effects and consider a reduced dosing frequency such as once daily if not tolerated, according to product labeling.
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
Selexipag 的其他交互作用
常見問題
Can I take Clopidogrel with Selexipag?
MediHelp rates the interaction as moderate. Clopidogrel and Selexipag 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 is a strong CYP2C8 inhibitor through its glucuronide metabolite, and selexipag and its active metabolite are CYP2C8 substrates. Exposure to the active metabolite of selexipag can increase markedly, raising the risk of prostacyclin-type adverse effects such as headache, diarrhea, nausea and jaw pain.
How serious is the interaction between Clopidogrel and Selexipag?
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 for selexipag adverse effects and consider a reduced dosing frequency such as once daily if not tolerated, according to product labeling.
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.
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。
