藥物交互作用
Cobicistat + Ergotamine
嚴重程度: 禁忌併用
Cobicistat and Ergotamine: contraindicated interaction.
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摘要
Cobicistat strongly inhibits CYP3A4 and can sharply raise ergotamine concentrations. This can precipitate acute ergotism with severe peripheral vasospasm and ischemia of the limbs, brain or heart.
用白話說明這項交互作用的意義
Cobicistat and Ergotamine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Cobicistat belongs to Miscellaneous; Ergotamine belongs to Central Nervous System.
為什麼會發生
Inhibition of CYP3A4-mediated ergotamine metabolism.
處置方式
Do not co-administer. Use a non-ergot migraine therapy during treatment with cobicistat.
可向藥師詢問的問題
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
Ergotamine 的其他交互作用
Cobicistat 的其他交互作用
常見問題
Can I take Cobicistat with Ergotamine?
MediHelp rates the interaction as contraindicated. Cobicistat and Ergotamine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Cobicistat strongly inhibits CYP3A4 and can sharply raise ergotamine concentrations. This can precipitate acute ergotism with severe peripheral vasospasm and ischemia of the limbs, brain or heart.
How serious is the interaction between Cobicistat and Ergotamine?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not co-administer. Use a non-ergot migraine therapy during treatment with cobicistat.
What other medicines interact with Ergotamine?
MediHelp also lists interactions of Ergotamine with, for example, Almotriptan, Atazanavir, Clarithromycin. The full list is on the Ergotamine page.
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