藥物交互作用
Dolutegravir + Eslicarbazepine
嚴重程度: 嚴重
Dolutegravir and Eslicarbazepine: major interaction.
最後更新
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摘要
Eslicarbazepine induces UGT1A1 and CYP3A4 and may lower dolutegravir exposure, risking virologic failure and resistance. Reduced concentrations are expected based on interactions with similar anticonvulsants.
用白話說明這項交互作用的意義
Dolutegravir and Eslicarbazepine 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.
Dolutegravir belongs to Anti Virals; Eslicarbazepine belongs to Central Nervous System.
為什麼會發生
Induction of UGT1A1 and CYP3A4 by eslicarbazepine accelerates dolutegravir metabolism.
處置方式
Avoid the combination if possible or increase dolutegravir to 50 mg twice daily in INSTI-naive patients, and monitor HIV viral load.
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?
Dolutegravir 的其他交互作用
Eslicarbazepine 的其他交互作用
常見問題
Can I take Dolutegravir with Eslicarbazepine?
MediHelp rates the interaction as major. Dolutegravir and Eslicarbazepine 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. Eslicarbazepine induces UGT1A1 and CYP3A4 and may lower dolutegravir exposure, risking virologic failure and resistance. Reduced concentrations are expected based on interactions with similar anticonvulsants.
How serious is the interaction between Dolutegravir and Eslicarbazepine?
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 if possible or increase dolutegravir to 50 mg twice daily in INSTI-naive patients, and monitor HIV viral load.
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.
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。
