cytadren and Aprepitant Interactions

Interactions between cytadren(aminoglutethimide) and Aprepitant (aprepitant)

aminoglutethimide and aprepitant (Moderate Drug-Drug)

MONITOR: Coadministration with inducers of CYP450 3A4 may decrease the plasma concentrations of aprepitant, which is primarily metabolized by the isoenzyme. According to the manufacturer, coadministration of the potent CYP450 3A4 inducer rifampin (600 mg/day for 14 days) and a single 375 mg dose of aprepitant on day 9 resulted in an 11-fold decrease in the area under the plasma concentration-time curve (AUC) and a 3-fold decrease in the mean terminal half-life of aprepitant.

MANAGEMENT: The possibility of a diminished therapeutic response to aprepitant should be considered during coadministration with CYP450 3A4 inducers, particularly potent ones like carbamazepine, rifampin, and phenytoin. Pharmacologic response to aprepitant should be monitored more closely whenever a CYP450 3A4 inducer is added to or withdrawn from therapy, and the dosage adjusted as necessary.