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藥物交互作用

Darifenacin + Darunavir

嚴重程度: 嚴重

Darifenacin and Darunavir: major 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

Darunavir, usually given with a booster such as ritonavir or cobicistat, strongly inhibits CYP3A4 and can substantially raise darifenacin levels. This increases the risk of anticholinergic toxicity.

用白話說明這項交互作用的意義

Darifenacin and Darunavir 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.

Darifenacin belongs to Genitourinary; Darunavir belongs to Anti Virals.

證據等級: Moderate

為什麼會發生

Inhibition of CYP3A4 by boosted darunavir reduces darifenacin clearance.

處置方式

Do not exceed darifenacin 7.5 mg daily and monitor for anticholinergic toxicity. Consider an alternative bladder agent.

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?

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

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建立帳號並開始 Pro+ 試用,即可解鎖 Darifenacin 與 Darunavir 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 Darifenacin with Darunavir?

MediHelp rates the interaction as major. Darifenacin and Darunavir 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. Darunavir, usually given with a booster such as ritonavir or cobicistat, strongly inhibits CYP3A4 and can substantially raise darifenacin levels. This increases the risk of anticholinergic toxicity.

How serious is the interaction between Darifenacin and Darunavir?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not exceed darifenacin 7.5 mg daily and monitor for anticholinergic toxicity. Consider an alternative bladder agent.

What other medicines interact with Darifenacin?

MediHelp also lists interactions of Darifenacin with, for example, Atazanavir, Bethanechol, Clarithromycin. The full list is on the Darifenacin page.

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