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藥物交互作用

Doravirine + Phenobarbitone

嚴重程度: 禁忌併用

Doravirine and Phenobarbitone: contraindicated 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

Phenobarbital is expected to lower doravirine exposure considerably, risking virologic failure and resistance. Labeling contraindicates strong CYP3A inducers with doravirine.

用白話說明這項交互作用的意義

Doravirine and Phenobarbitone are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Doravirine belongs to Anti Virals; Phenobarbitone belongs to Central Nervous System.

證據等級: Moderate

為什麼會發生

Phenobarbital induces CYP3A4, accelerating doravirine metabolism.

處置方式

Avoid the combination and use an alternative anticonvulsant or antiretroviral regimen. Allow for the long duration of enzyme induction after stopping phenobarbital before starting doravirine.

可向藥師詢問的問題

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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

Pro+ 會員專屬

解鎖完整頁面

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

MediHelp rates the interaction as contraindicated. Doravirine and Phenobarbitone are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Phenobarbital is expected to lower doravirine exposure considerably, risking virologic failure and resistance. Labeling contraindicates strong CYP3A inducers with doravirine.

How serious is the interaction between Doravirine and Phenobarbitone?

MediHelp rates it contraindicated, 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 anticonvulsant or antiretroviral regimen. Allow for the long duration of enzyme induction after stopping phenobarbital before starting doravirine.

What other medicines interact with Doravirine?

MediHelp also lists interactions of Doravirine with, for example, Amobarbital, Apalutamide, Carbamazepine. The full list is on the Doravirine page.

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