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Stendra and Zykadia

Determining the interaction of Stendra and Zykadia and the possibility of their joint administration.

Check result:
Stendra <> Zykadia
Relevance: 17.06.2022 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:

Consumer information for this interaction is not currently available.GENERALLY AVOID: Coadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of avanafil, which is primarily metabolized by the isoenzyme. In 15 healthy male volunteers, administration of a single 50 mg dose of avanafil following pretreatment with the potent CYP450 3A4 inhibitor ketoconazole (400 mg once daily for 5 days) increased avanafil peak plasma concentration (Cmax) and systemic exposure (AUC) by approximately 3-fold and 13-fold, respectively, compared to administration of avanafil alone. Likewise, when a single 50 mg dose of avanafil was administered to 14 healthy male volunteers treated with ritonavir (600 mg twice daily for 5 days), avanafil Cmax increased by 2.4-fold and AUC increased by 13-fold. Both ketoconazole and ritonavir prolonged the half-life of avanafil to approximately 9 hours, from a normal of 5 hours. MANAGEMENT: Concomitant use of avanafil with potent CYP450 3A4 inhibitors should generally be avoided. References "Product Information. Stendra (avanafil)." Vivus Inc, Mountain View, CA.

Professional:

GENERALLY AVOID: Coadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of avanafil, which is primarily metabolized by the isoenzyme. In 15 healthy male volunteers, administration of a single 50 mg dose of avanafil following pretreatment with the potent CYP450 3A4 inhibitor ketoconazole (400 mg once daily for 5 days) increased avanafil peak plasma concentration (Cmax) and systemic exposure (AUC) by approximately 3-fold and 13-fold, respectively, compared to administration of avanafil alone. Likewise, when a single 50 mg dose of avanafil was administered to 14 healthy male volunteers treated with ritonavir (600 mg twice daily for 5 days), avanafil Cmax increased by 2.4-fold and AUC increased by 13-fold. Both ketoconazole and ritonavir prolonged the half-life of avanafil to approximately 9 hours, from a normal of 5 hours.

MANAGEMENT: Concomitant use of avanafil with potent CYP450 3A4 inhibitors should generally be avoided.

References
  • "Product Information. Stendra (avanafil)." Vivus Inc, Mountain View, CA.
Stendra

Generic Name: avanafil

Brand name: Stendra

Synonyms: n.a.

Zykadia

Generic Name: ceritinib

Brand name: Zykadia

Synonyms: n.a.

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.

Interaction with food and lifestyle
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