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藥物交互作用

Losartan + Selexipag

嚴重程度: 中度

Losartan and Selexipag: moderate 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

Selexipag is cleared by CYP2C8 to its active metabolite, and inhibitors of this enzyme may increase exposure. Higher exposure may cause more headache, diarrhea, jaw pain, and hypotension.

用白話說明這項交互作用的意義

Losartan and Selexipag can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Losartan belongs to Cardiovascular; Selexipag belongs to Cardiovascular.

證據等級: Low

為什麼會發生

Possible inhibition of CYP2C8-mediated selexipag metabolism.

處置方式

Monitor for prostacyclin-related adverse effects and blood pressure. Follow selexipag labeling on dosing frequency with moderate CYP2C8 inhibitors.

可向藥師詢問的問題

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Losartan 與 Selexipag 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 Losartan with Selexipag?

MediHelp rates the interaction as moderate. Losartan and Selexipag can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Selexipag is cleared by CYP2C8 to its active metabolite, and inhibitors of this enzyme may increase exposure. Higher exposure may cause more headache, diarrhea, jaw pain, and hypotension.

How serious is the interaction between Losartan and Selexipag?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for prostacyclin-related adverse effects and blood pressure. Follow selexipag labeling on dosing frequency with moderate CYP2C8 inhibitors.

What other medicines interact with Losartan?

MediHelp also lists interactions of Losartan with, for example, Aliskiren, Sparsentan, Amifostine. The full list is on the Losartan page.

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