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藥物交互作用

Dalfampridine + Dolutegravir

嚴重程度: 中度

Dalfampridine and Dolutegravir: moderate interaction.

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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

Dolutegravir inhibits renal tubular transporters OCT2 and MATE1 and may raise dalfampridine concentrations, which are renally eliminated. Higher levels increase the risk of seizures, a dose-related adverse effect of dalfampridine.

用白話說明這項交互作用的意義

Dalfampridine and Dolutegravir 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.

Dalfampridine belongs to Central Nervous System; Dolutegravir belongs to Anti Virals.

證據等級: Low

為什麼會發生

Inhibition of OCT2/MATE1-mediated renal tubular secretion by dolutegravir reduces dalfampridine clearance.

處置方式

Monitor for dalfampridine adverse effects, especially seizures, and avoid use if renal function is impaired; consider an alternative if seizure risk is a concern.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Dalfampridine 與 Dolutegravir 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Dalfampridine with Dolutegravir?

MediHelp rates the interaction as moderate. Dalfampridine and Dolutegravir 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. Dolutegravir inhibits renal tubular transporters OCT2 and MATE1 and may raise dalfampridine concentrations, which are renally eliminated. Higher levels increase the risk of seizures, a dose-related adverse effect of dalfampridine.

How serious is the interaction between Dalfampridine and Dolutegravir?

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 dalfampridine adverse effects, especially seizures, and avoid use if renal function is impaired; consider an alternative if seizure risk is a concern.

What other medicines interact with Dolutegravir?

MediHelp also lists interactions of Dolutegravir with, for example, Dofetilide, Aluminum hydroxide, Atidarsagene autotemcel. The full list is on the Dolutegravir page.

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