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藥物交互作用

Ergotamine + Miconazole

嚴重程度: 嚴重

Ergotamine and Miconazole: 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

Miconazole is a CYP3A4 inhibitor, but only oral-gel or systemic dosing yields meaningful exposure; vaginal or topical use is minimally absorbed. With systemic exposure, ergotamine levels can rise and cause vasospasm.

用白話說明這項交互作用的意義

Ergotamine and Miconazole 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.

Ergotamine belongs to Central Nervous System; Miconazole belongs to Anti Fungals.

證據等級: Low

為什麼會發生

CYP3A4 inhibition raising ergotamine exposure (clinically relevant with systemic miconazole)

處置方式

Avoid with systemic or buccal miconazole; topical and vaginal use carries little risk.

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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解鎖完整頁面

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

MediHelp rates the interaction as major. Ergotamine and Miconazole 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. Miconazole is a CYP3A4 inhibitor, but only oral-gel or systemic dosing yields meaningful exposure; vaginal or topical use is minimally absorbed. With systemic exposure, ergotamine levels can rise and cause vasospasm.

How serious is the interaction between Ergotamine and Miconazole?

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 with systemic or buccal miconazole; topical and vaginal use carries little risk.

What other medicines interact with Miconazole?

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

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