藥物交互作用
Daridorexant + Itraconazole
嚴重程度: 嚴重
Daridorexant and Itraconazole: major interaction.
最後更新 來源: UK SmPC
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摘要
Itraconazole substantially increases daridorexant exposure, which can cause excessive sedation, next-day somnolence and impaired psychomotor performance. Labeling advises against use with strong CYP3A4 inhibitors.
用白話說明這項交互作用的意義
Daridorexant and Itraconazole 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.
Daridorexant belongs to Central Nervous System; Itraconazole belongs to Anti Fungals.
為什麼會發生
Strong CYP3A4 inhibition reduces daridorexant metabolism.
處置方式
Avoid the combination and use an alternative antifungal or hypnotic. If an interacting course is unavoidable, do not drive and monitor for excessive sedation.
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?
參考資料
Itraconazole 的其他交互作用
Daridorexant 的其他交互作用
常見問題
Can I take Daridorexant with Itraconazole?
MediHelp rates the interaction as major. Daridorexant and Itraconazole 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. Itraconazole substantially increases daridorexant exposure, which can cause excessive sedation, next-day somnolence and impaired psychomotor performance. Labeling advises against use with strong CYP3A4 inhibitors.
How serious is the interaction between Daridorexant and Itraconazole?
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 an alternative antifungal or hypnotic. If an interacting course is unavoidable, do not drive and monitor for excessive sedation.
What other medicines interact with Itraconazole?
MediHelp also lists interactions of Itraconazole with, for example, Alfuzosin, Alprazolam, Avanafil. The full list is on the Itraconazole 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。
