Lanoxin Injection Pediatric and Simeprevir
Determining the interaction of Lanoxin Injection Pediatric and Simeprevir 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:Simeprevir may increase the blood levels and effects of digoxin. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. Contact your doctor if you experience nausea, vomiting, diarrhea, loss of appetite, visual disturbances (blurred vision; light halos around objects; green or yellow vision), or an abnormally fast or slow or uneven heartbeat, as these may be signs and symptoms of excessive digoxin levels. 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 simeprevir may increase the serum concentrations of digoxin. The proposed mechanism is simeprevir inhibition of the P-glycoprotein-mediated intestinal efflux or renal tubular secretion of digoxin. In 16 healthy study subjects, administration of a single 0.25 mg dose of digoxin in combination with simeprevir 150 mg once daily for 7 days increased mean digoxin peak plasma concentration (Cmax) by 31% and systemic exposure (AUC) by 39% compared to digoxin administered alone.
MANAGEMENT: Serum digoxin levels and pharmacologic effects should be closely monitored following the addition or withdrawal of simeprevir. Patients should be advised to seek medical attention if they experience signs of digoxin toxicity such as nausea, anorexia, visual disturbances, slow pulse, or irregular heartbeat.
- "Product Information. Olysio (simeprevir)." Janssen Pharmaceuticals, Titusville, NJ.
Generic Name: digoxin
Brand name: Lanoxin, Digitek, Digox, Lanoxicaps, Cardoxin
Synonyms: Lanoxin
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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- Lanoxin Injection Pediatric-Simethicone Oral Strips
- Lanoxin Injection Pediatric-Simethicone Suspension
- Simeprevir-Lanoxin Intravenous
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