藥物交互作用
Daprodustat + Hydrochlorothiazide-irbesartan
嚴重程度: 中度
Daprodustat and Hydrochlorothiazide-irbesartan: moderate interaction.
最後更新
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摘要
Irbesartan is reported to be a CYP2C8 inhibitor, and daprodustat is cleared mainly by CYP2C8. Exposure to daprodustat may therefore rise, increasing the risk of excessive erythropoietic response and related cardiovascular or thrombotic events.
用白話說明這項交互作用的意義
Daprodustat and Hydrochlorothiazide-irbesartan 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.
Daprodustat belongs to Endocrine; Hydrochlorothiazide-irbesartan belongs to Cardiovascular.
為什麼會發生
Inhibition of CYP2C8-mediated metabolism of daprodustat raises its plasma concentrations.
處置方式
Monitor hemoglobin closely when irbesartan is started or stopped and adjust the daprodustat dose accordingly. Consider a lower daprodustat starting dose if the combination is initiated together.
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?
Hydrochlorothiazide-irbesartan 的其他交互作用
Daprodustat 的其他交互作用
常見問題
Can I take Daprodustat with Hydrochlorothiazide-irbesartan?
MediHelp rates the interaction as moderate. Daprodustat and Hydrochlorothiazide-irbesartan 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. Irbesartan is reported to be a CYP2C8 inhibitor, and daprodustat is cleared mainly by CYP2C8. Exposure to daprodustat may therefore rise, increasing the risk of excessive erythropoietic response and related cardiovascular or thrombotic events.
How serious is the interaction between Daprodustat and Hydrochlorothiazide-irbesartan?
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 hemoglobin closely when irbesartan is started or stopped and adjust the daprodustat dose accordingly. Consider a lower daprodustat starting dose if the combination is initiated together.
What other medicines interact with Hydrochlorothiazide-irbesartan?
MediHelp also lists interactions of Hydrochlorothiazide-irbesartan with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Hydrochlorothiazide-irbesartan page.
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