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Histex and Myrbetriq

Determining the interaction of Histex and Myrbetriq and the possibility of their joint administration.

Check result:

Histex <> Myrbetriq

Relevance: 24.12.2022 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:

Mirabegron may increase the blood levels and effects of chlorpheniramine. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. Contact your doctor if you experience increased side effects or your condition changes. 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 mirabegron may increase the plasma concentrations of drugs that are primarily metabolized by CYP450 2D6. The mechanism is decreased clearance due to inhibition of CYP450 2D6 activity by mirabegron. In 12 healthy male volunteers, administration of a single 100 mg oral dose of metoprolol following pretreatment with immediate-release mirabegron 160 mg orally once daily for 5 days increased the metoprolol peak plasma concentration (Cmax) by 90% and systemic exposure (AUC) by 229% compared to administration of metoprolol alone. Likewise, in 28 healthy male and female volunteers, Cmax of desipramine increased by 79% and AUC increased by 241% when a single 50 mg oral dose of desipramine was administered after multiple-dose administration of extended-release mirabegron 100 mg once daily for 18 days.

MANAGEMENT: Caution is advised if mirabegron must be used concomitantly with medications that undergo metabolism by CYP450 2D6, particularly those with a narrow therapeutic range. Dosage adjustments as well as clinical and laboratory monitoring may be appropriate for some drugs whenever mirabegron is added to or withdrawn from therapy.

References

"Product Information. Myrbetriq (mirabegron)." Astellas Pharma US, Inc, Deerfield, IL.

Histex

Generic Name: chlorpheniramine / pseudoephedrine

Brand name: Allerest Maximum Strength, Dicel, LoHist-D, SudoGest Sinus & Allergy, Triaminic Cold and Allergy, Clorfed, Histalet, Fedahist, Tanafed, Novafed A, Chlorafed HS. Timecelles, Codimal-LA, Kronofed-A-Jr, Rescon, Rescon JR, Dura-Tap/PD, Fedahist Timecaps, Orlenta, Chlorphedrin SR, Colfed-A, D-Amine-SR, Deconomed SR, Pseudocot-C, Duralex, Rinade-BID, Suphenamine-SR, Isophen-DF, Kronofed-A, ND Clear, Chlordrine SR, Anamine TD, Time-Hist, Chlorafed Timecelles, Brexin LA, Rescon-Ed, Deconamine SR, Pseudochlor, Cophene No. 2, Anaplex, Anamine, Klerist-D, Codimal-LA Half, Fedahist Gyrocaps, Deconamine, Clorfed II, Curaler, Sudafed Plus, Chlorafed, Histafed LA, Chlor Trimeton Allergy Decongestant, Aller-Chlor Decongestant, Sudogest Plus, Ryna Liquid, Genaphed Plus, Dayquil Allergy, Hayfebrol Liquid, Suphedrine Plus, Atrohist Pediatric Capsule, Histex, Triaminic Softchew Cold and Allergy, Chlor-Trimeton Allergy Decongestant SR, Tavist-DA, Biohist LA, Dynahist-ER Pediatric, Pediacare Cold and Allergy, CP-Tannic, Durafed, Histade, Duotan, Mintex, QDall, Suclor, Sudafed Sinus/Allergy, Re2+30, Sudal-12, Pediox Chewable, C-Phed Tannate, De-Congestine, Sudal-12 Chewable, Sudal-12 Tannate, SudaHist, Triaminic Softchews Allergy Nose & Congestion, Duratuss DA, Neutrahist Drops, AccuHist Drops, Sudogest Cold & Allergy, Dicel Chewables, PediaCare Cold/Allergy

Synonyms: Chlorpheniramine and pseudoephedrine, Chlorphen Mal, Pseudoeph HCl

What is Histex?

Myrbetriq

Generic Name: mirabegron

Brand name: Myrbetriq

Synonyms: n.a.

What is Myrbetriq?

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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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