藥物交互作用
Daridorexant + Posaconazole
嚴重程度: 嚴重
Daridorexant and Posaconazole: major interaction.
最後更新 來源: UK SmPC
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摘要
Posaconazole markedly increases daridorexant exposure, which may cause excessive sedation, next-day impairment and somnolence. Labeling advises against use with strong CYP3A4 inhibitors.
用白話說明這項交互作用的意義
Daridorexant and Posaconazole 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; Posaconazole belongs to Anti Fungals.
為什麼會發生
Strong CYP3A4 inhibition by posaconazole reduces daridorexant clearance.
處置方式
Avoid concomitant use and select a different insomnia treatment during posaconazole therapy. Counsel on next-day drowsiness if exposure occurs.
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
- Noxafil 100 mg Gastro-resistant Tablets - SmPC sections 4.3/4.5 (class statement: CYP3A4 substrates; "Posaconazole is a potent inhibitor of CYP3A4. Co-administration of posaconazole with CYP3A4 substrates may result in large increases in exposure to CYP3A4 subst") — electronic medicines compendium (UK SmPC)
Posaconazole 的其他交互作用
Daridorexant 的其他交互作用
常見問題
Can I take Daridorexant with Posaconazole?
MediHelp rates the interaction as major. Daridorexant and Posaconazole 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. Posaconazole markedly increases daridorexant exposure, which may cause excessive sedation, next-day impairment and somnolence. Labeling advises against use with strong CYP3A4 inhibitors.
How serious is the interaction between Daridorexant and Posaconazole?
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 concomitant use and select a different insomnia treatment during posaconazole therapy. Counsel on next-day drowsiness if exposure occurs.
What other medicines interact with Posaconazole?
MediHelp also lists interactions of Posaconazole with, for example, Artemether, Avanafil, Cobimetinib. The full list is on the Posaconazole page.
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