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藥物交互作用

Flutamide + Levoketoconazole

嚴重程度: 嚴重

Flutamide and Levoketoconazole: 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

Levoketoconazole is a strong CYP3A4 inhibitor and may raise flutamide exposure. Both drugs carry a risk of hepatotoxicity, so combined use may increase the chance of liver injury.

用白話說明這項交互作用的意義

Flutamide and Levoketoconazole 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.

Flutamide belongs to Endocrine; Levoketoconazole belongs to Endocrine.

證據等級: Low

為什麼會發生

Levoketoconazole strongly inhibits CYP3A4, reducing flutamide metabolism, and both drugs are hepatotoxic.

處置方式

Avoid the combination if possible. If used, monitor liver function tests frequently and stop at signs of liver injury.

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 Flutamide 與 Levoketoconazole 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 Flutamide with Levoketoconazole?

MediHelp rates the interaction as major. Flutamide and Levoketoconazole 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. Levoketoconazole is a strong CYP3A4 inhibitor and may raise flutamide exposure. Both drugs carry a risk of hepatotoxicity, so combined use may increase the chance of liver injury.

How serious is the interaction between Flutamide and Levoketoconazole?

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 if possible. If used, monitor liver function tests frequently and stop at signs of liver injury.

What other medicines interact with Flutamide?

MediHelp also lists interactions of Flutamide with, for example, Idelalisib, Pexidartinib, Pretomanid. The full list is on the Flutamide page.

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