藥物交互作用
Miconazole + Ribociclib
嚴重程度: 嚴重
Miconazole and Ribociclib: major interaction.
最後更新
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摘要
Both drugs can prolong the QT interval, and oral or buccal miconazole inhibits CYP3A4, which may raise ribociclib exposure. The combination can increase the risk of QT prolongation and torsades de pointes.
用白話說明這項交互作用的意義
Miconazole and Ribociclib 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 belongs to Anti Fungals; Ribociclib belongs to Oncology.
為什麼會發生
Additive QT prolongation, plus CYP3A4 inhibition by miconazole increasing ribociclib levels.
處置方式
Avoid systemic miconazole where possible, or use an alternative antifungal. If combined, monitor ECG and electrolytes and consider reducing ribociclib dose.
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?
Ribociclib 的其他交互作用
Miconazole 的其他交互作用
常見問題
Can I take Miconazole with Ribociclib?
MediHelp rates the interaction as major. Miconazole and Ribociclib 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. Both drugs can prolong the QT interval, and oral or buccal miconazole inhibits CYP3A4, which may raise ribociclib exposure. The combination can increase the risk of QT prolongation and torsades de pointes.
How serious is the interaction between Miconazole and Ribociclib?
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 systemic miconazole where possible, or use an alternative antifungal. If combined, monitor ECG and electrolytes and consider reducing ribociclib dose.
What other medicines interact with Ribociclib?
MediHelp also lists interactions of Ribociclib with, for example, Amiodarone, Cisapride, Dofetilide. The full list is on the Ribociclib 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。
