藥物交互作用
Cobicistat + Lurasidone
嚴重程度: 禁忌併用
Cobicistat and Lurasidone: contraindicated interaction.
最後更新
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摘要
Cobicistat is a strong CYP3A4 inhibitor that can greatly raise lurasidone exposure. This increases the risk of serious adverse effects, including extrapyramidal symptoms, sedation and QT effects, and lurasidone labeling contraindicates strong CYP3A4 inhibitors.
用白話說明這項交互作用的意義
Cobicistat and Lurasidone 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; Lurasidone belongs to Central Nervous System.
為什麼會發生
Cobicistat strongly inhibits CYP3A4, markedly reducing lurasidone clearance.
處置方式
Do not combine; choose an antipsychotic less dependent on CYP3A4 or an antiretroviral regimen without a booster.
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?
Lurasidone 的其他交互作用
Cobicistat 的其他交互作用
常見問題
Can I take Cobicistat with Lurasidone?
MediHelp rates the interaction as contraindicated. Cobicistat and Lurasidone 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 is a strong CYP3A4 inhibitor that can greatly raise lurasidone exposure. This increases the risk of serious adverse effects, including extrapyramidal symptoms, sedation and QT effects, and lurasidone labeling contraindicates strong CYP3A4 inhibitors.
How serious is the interaction between Cobicistat and Lurasidone?
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 combine; choose an antipsychotic less dependent on CYP3A4 or an antiretroviral regimen without a booster.
What other medicines interact with Lurasidone?
MediHelp also lists interactions of Lurasidone with, for example, Apalutamide, Atazanavir, Carbamazepine. The full list is on the Lurasidone page.
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