Hydrochlorothiazide and irbesartan and Vfend
Determining the interaction of Hydrochlorothiazide and irbesartan and Vfend and the possibility of their joint administration.
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:Voriconazole may increase the blood levels and effects of irbesartan. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. Contact your doctor if your condition changes or you experience increased side effects. 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 voriconazole may increase the plasma concentrations of drugs that are substrates of CYP450 2C19, 2C9, and/or 3A4. The mechanism is decreased clearance due to inhibition of those isoenzymes by voriconazole. Increased plasma levels and/or pharmacologic effects of drugs such as cyclosporine, sirolimus, tacrolimus (3A4 substrates), and warfarin (2C9 substrate) have been reported during coadministration with voriconazole.
MANAGEMENT: Caution is advised if voriconazole must be used concomitantly with medications that undergo metabolism by CYP450 2C19, 2C9 and/or 3A4, particularly those with a narrow therapeutic range. Dosage adjustments as well as clinical and laboratory monitoring may be appropriate for some drugs whenever voriconazole is added to or withdrawn from therapy. The manufacturer specifically recommends that a dosage reduction be considered for benzodiazepines, statins, long-acting opiates, and vinca alkaloids that are metabolized by the affected isoenzymes when used with voriconazole.
- Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0
- Cerner Multum, Inc. "Australian Product Information." O 0
- "Product Information. VFEND (voriconazole)." Pfizer U.S. Pharmaceuticals, New York, NY.
Generic Name: hydrochlorothiazide / irbesartan
Brand name: Avalide
Synonyms: Irbesartan and Hydrochlorothiazide
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.
- Hydrochlorothiazide and irbesartan-Vfend (Voriconazole Injection)
- Hydrochlorothiazide and irbesartan-Vfend (Voriconazole Suspension)
- Hydrochlorothiazide and irbesartan-Vfend (Voriconazole Tablets)
- Hydrochlorothiazide and irbesartan-Vfend I.V.
- Hydrochlorothiazide and irbesartan-Vfend Injection
- Hydrochlorothiazide and irbesartan-Vfend Oral
- Vfend-Hydrochlorothiazide and lisinopril
- Vfend-Hydrochlorothiazide and losartan
- Vfend-Hydrochlorothiazide and methyldopa
- Vfend-Hydrochlorothiazide and metoprolol
- Vfend-Hydrochlorothiazide and moexipril
- Vfend-Hydrochlorothiazide and olmesartan