藥物交互作用
Rifampin + Roflumilast
嚴重程度: 嚴重
Rifampin and Roflumilast: major interaction.
最後更新 來源: US FDA label
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摘要
Rifampicin markedly lowers roflumilast and active metabolite exposure, and the label advises against use with strong inducers. Loss of therapeutic effect is likely.
用白話說明這項交互作用的意義
Rifampin and Roflumilast 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.
為什麼會發生
Rifampicin strongly induces CYP3A4 and CYP1A2, increasing roflumilast clearance.
處置方式
Avoid concurrent use; if rifampicin is required, use an alternative COPD therapy for the duration. Induction persists for some weeks after stopping.
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?
參考資料
Roflumilast 的其他交互作用
常見問題
Can I take Rifampin with Roflumilast?
MediHelp rates the interaction as major. Rifampin and Roflumilast 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. Rifampicin markedly lowers roflumilast and active metabolite exposure, and the label advises against use with strong inducers. Loss of therapeutic effect is likely.
How serious is the interaction between Rifampin and Roflumilast?
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 concurrent use; if rifampicin is required, use an alternative COPD therapy for the duration. Induction persists for some weeks after stopping.
What other medicines interact with Roflumilast?
MediHelp also lists interactions of Roflumilast with, for example, Apalutamide, Carbamazepine, Efavirenz. The full list is on the Roflumilast 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。
