藥物交互作用
Eliglustat + Ketoconazole
嚴重程度: 禁忌併用
Eliglustat and Ketoconazole: contraindicated interaction.
最後更新
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
Ketoconazole substantially increases eliglustat exposure, which can prolong the PR, QTc and QRS intervals and cause arrhythmias. Labeling contraindicates or restricts the combination depending on CYP2D6 metabolizer status.
用白話說明這項交互作用的意義
Eliglustat and Ketoconazole 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.
Eliglustat belongs to Miscellaneous; Ketoconazole belongs to Anti Fungals.
為什麼會發生
Ketoconazole inhibits CYP3A4 and, to a lesser extent, CYP2D6, the two main pathways for eliglustat clearance.
處置方式
Avoid in intermediate and poor CYP2D6 metabolizers and when combined with a CYP2D6 inhibitor. In extensive metabolizers, eliglustat dose reduction is required, with ECG monitoring.
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?
Ketoconazole 的其他交互作用
Eliglustat 的其他交互作用
常見問題
Can I take Eliglustat with Ketoconazole?
MediHelp rates the interaction as contraindicated. Eliglustat and Ketoconazole 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. Ketoconazole substantially increases eliglustat exposure, which can prolong the PR, QTc and QRS intervals and cause arrhythmias. Labeling contraindicates or restricts the combination depending on CYP2D6 metabolizer status.
How serious is the interaction between Eliglustat and Ketoconazole?
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 in intermediate and poor CYP2D6 metabolizers and when combined with a CYP2D6 inhibitor. In extensive metabolizers, eliglustat dose reduction is required, with ECG monitoring.
What other medicines interact with Ketoconazole?
MediHelp also lists interactions of Ketoconazole with, for example, Alfuzosin, Alprazolam, Avanafil. The full list is on the Ketoconazole 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。
