藥物交互作用
Cobicistat + Etravirine
嚴重程度: 嚴重
Cobicistat and Etravirine: major interaction.
最後更新
僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。
本頁的臨床內容僅提供英文版。
摘要
Etravirine induces CYP3A4 and may reduce cobicistat concentrations, weakening the boosting effect on the protease inhibitor. This can lower protease inhibitor exposure and risk virologic failure.
用白話說明這項交互作用的意義
Cobicistat and Etravirine 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.
Cobicistat belongs to Miscellaneous; Etravirine belongs to Anti Virals.
為什麼會發生
Etravirine induction of CYP3A4 lowers cobicistat and boosted drug levels.
處置方式
Avoid the combination and use a ritonavir-boosted regimen or alternative agents per HIV specialist guidance.
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?
Cobicistat 的其他交互作用
Etravirine 的其他交互作用
常見問題
Can I take Cobicistat with Etravirine?
MediHelp rates the interaction as major. Cobicistat and Etravirine 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. Etravirine induces CYP3A4 and may reduce cobicistat concentrations, weakening the boosting effect on the protease inhibitor. This can lower protease inhibitor exposure and risk virologic failure.
How serious is the interaction between Cobicistat and Etravirine?
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 the combination and use a ritonavir-boosted regimen or alternative agents per HIV specialist guidance.
What other medicines interact with Cobicistat?
MediHelp also lists interactions of Cobicistat with, for example, Alfuzosin, Apalutamide, Colchicine. The full list is on the Cobicistat 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。