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Forfivo XL and Isavuconazonium

Determining the interaction of Forfivo XL and Isavuconazonium and the possibility of their joint administration.

Check result:
Forfivo XL <> Isavuconazonium
Relevance: 26.07.2023 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Isavuconazonium may reduce the blood levels of buPROPion, which may make the medication less effective in treating your condition. Contact your doctor if your symptoms worsen or your condition changes. Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or more frequent monitoring to safely use both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

MONITOR: Coadministration with isavuconazonium sulfate (prodrug of isavuconazole) may decrease the plasma concentrations of bupropion. The proposed mechanism is isavuconazole induction of the CYP450 2B6-mediated metabolism of bupropion. When a single 100 mg dose of bupropion was administered to healthy volunteers following multiple dosing of isavuconazonium sulfate, bupropion peak plasma concentration (Cmax) and systemic exposure (AUC) decreased by approximately 30% and 40%, respectively.

MANAGEMENT: The potential for diminished pharmacologic effects of bupropion should be considered during coadministration with isavuconazonium sulfate. An increase in bupropion dosage may be required, but should not exceed the maximum recommended dosage.

References
  • "Product Information. Cresemba (isavuconazonium)." Astellas Pharma US, Inc, Deerfield, IL.
Forfivo XL

Generic Name: bupropion

Brand name: Aplenzin, Budeprion XL, Forfivo XL, Wellbutrin XL, Buproban, Wellbutrin SR, Zyban, Zyban Advantage Pack

Synonyms: n.a.

Isavuconazonium

Generic Name: isavuconazonium

Brand name: Cresemba

Synonyms: Isavuconazonium Sulfate

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

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