藥物交互作用
Clotrimazole + Lomitapide
嚴重程度: 嚴重
Clotrimazole and Lomitapide: major interaction.
最後更新
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摘要
Lomitapide is extensively metabolized by CYP3A4, and strong inhibitors raise its exposure many-fold, increasing the risk of hepatotoxicity and gastrointestinal adverse effects. Systemic clotrimazole is a CYP3A4 inhibitor, though topical or oral lozenge use gives limited exposure.
用白話說明這項交互作用的意義
Clotrimazole and Lomitapide 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.
Clotrimazole belongs to Anti Fungals; Lomitapide belongs to Cardiovascular.
為什麼會發生
Clotrimazole inhibits CYP3A4-mediated metabolism of lomitapide, increasing its systemic concentrations.
處置方式
Avoid systemic or prolonged clotrimazole use during lomitapide therapy and choose an antifungal with less CYP3A4 effect. Monitor liver enzymes if exposure cannot be avoided.
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?
Clotrimazole 的其他交互作用
Lomitapide 的其他交互作用
常見問題
Can I take Clotrimazole with Lomitapide?
MediHelp rates the interaction as major. Clotrimazole and Lomitapide 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. Lomitapide is extensively metabolized by CYP3A4, and strong inhibitors raise its exposure many-fold, increasing the risk of hepatotoxicity and gastrointestinal adverse effects. Systemic clotrimazole is a CYP3A4 inhibitor, though topical or oral lozenge use gives limited exposure.
How serious is the interaction between Clotrimazole and Lomitapide?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid systemic or prolonged clotrimazole use during lomitapide therapy and choose an antifungal with less CYP3A4 effect. Monitor liver enzymes if exposure cannot be avoided.
What other medicines interact with Clotrimazole?
MediHelp also lists interactions of Clotrimazole with, for example, Mavacamten, Mobocertinib, Voclosporin. The full list is on the Clotrimazole 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。
