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藥物交互作用

Fezolinetant + Fluvoxamine

嚴重程度: 禁忌併用

Fezolinetant and Fluvoxamine: 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

Fezolinetant is metabolised mainly by CYP1A2, and fluvoxamine is a strong CYP1A2 inhibitor that greatly increases its exposure. This raises the risk of adverse effects including hepatotoxicity.

用白話說明這項交互作用的意義

Fezolinetant and Fluvoxamine 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.

Fezolinetant belongs to Endocrine; Fluvoxamine belongs to Central Nervous System.

證據等級: High

為什麼會發生

Strong CYP1A2 inhibition by fluvoxamine markedly reduces fezolinetant clearance.

處置方式

Do not use together; choose a different antidepressant or vasomotor symptom treatment. If fezolinetant is used, monitor liver tests per labeling.

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 Fezolinetant 與 Fluvoxamine 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 Fezolinetant with Fluvoxamine?

MediHelp rates the interaction as contraindicated. Fezolinetant and Fluvoxamine 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. Fezolinetant is metabolised mainly by CYP1A2, and fluvoxamine is a strong CYP1A2 inhibitor that greatly increases its exposure. This raises the risk of adverse effects including hepatotoxicity.

How serious is the interaction between Fezolinetant and Fluvoxamine?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use together; choose a different antidepressant or vasomotor symptom treatment. If fezolinetant is used, monitor liver tests per labeling.

What other medicines interact with Fluvoxamine?

MediHelp also lists interactions of Fluvoxamine with, for example, Agomelatine, Alosetron, Isocarboxazid. The full list is on the Fluvoxamine page.

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