藥物交互作用
Ribavirin + Stavudine
嚴重程度: 嚴重
Ribavirin and Stavudine: major interaction.
最後更新
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摘要
Ribavirin may reduce intracellular phosphorylation of stavudine, lowering its antiviral activity. Both drugs can also cause mitochondrial toxicity, with lactic acidosis and pancreatitis reported.
用白話說明這項交互作用的意義
Ribavirin and Stavudine 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.
Ribavirin belongs to Anti Virals; Stavudine belongs to Anti Virals.
為什麼會發生
Competition for phosphorylation reduces stavudine activation, and additive mitochondrial toxicity may occur.
處置方式
Avoid the combination and use an alternative NRTI. If unavoidable, monitor HIV viral load and for lactic acidosis and pancreatitis.
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?
Ribavirin 的其他交互作用
Stavudine 的其他交互作用
常見問題
Can I take Ribavirin with Stavudine?
MediHelp rates the interaction as major. Ribavirin and Stavudine 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. Ribavirin may reduce intracellular phosphorylation of stavudine, lowering its antiviral activity. Both drugs can also cause mitochondrial toxicity, with lactic acidosis and pancreatitis reported.
How serious is the interaction between Ribavirin and Stavudine?
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 and use an alternative NRTI. If unavoidable, monitor HIV viral load and for lactic acidosis and pancreatitis.
What other medicines interact with Ribavirin?
MediHelp also lists interactions of Ribavirin with, for example, Didanosine, Zidovudine, Abacavir. The full list is on the Ribavirin 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。
