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藥物交互作用

Elagolix + Erythromycin

嚴重程度: 嚴重

Elagolix and Erythromycin: 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

Erythromycin may increase elagolix exposure, raising the risk of adverse effects such as bone loss and liver enzyme elevations. Elagolix labeling restricts use with strong OATP1B1 inhibitors, and erythromycin has inhibitory activity on this transporter.

用白話說明這項交互作用的意義

Elagolix and Erythromycin 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.

Elagolix belongs to Musculoskeletal; Erythromycin belongs to Anti Bacterial.

證據等級: Moderate

為什麼會發生

Inhibition of OATP1B1-mediated hepatic uptake (and CYP3A) increases elagolix concentrations.

處置方式

Avoid the combination where possible; use an alternative antibiotic such as azithromycin or doxycycline as appropriate. If unavoidable, limit duration and monitor for adverse effects.

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.

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 Elagolix 與 Erythromycin 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 Elagolix with Erythromycin?

MediHelp rates the interaction as major. Elagolix and Erythromycin 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. Erythromycin may increase elagolix exposure, raising the risk of adverse effects such as bone loss and liver enzyme elevations. Elagolix labeling restricts use with strong OATP1B1 inhibitors, and erythromycin has inhibitory activity on this transporter.

How serious is the interaction between Elagolix and Erythromycin?

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 where possible; use an alternative antibiotic such as azithromycin or doxycycline as appropriate. If unavoidable, limit duration and monitor for adverse effects.

What other medicines interact with Erythromycin?

MediHelp also lists interactions of Erythromycin with, for example, Conivaptan, Dihydroergotamine intranasal, Dihydroergotamine. The full list is on the Erythromycin page.

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