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Baraclude (entecavir) Disease Interactions

There are 2 disease interactions with Baraclude (entecavir):

Moderate

Entecavir (Includes Baraclude) ↔ Hemodialysis

Moderate Potential Hazard, High plausibility

Applies to: hemodialysis

Entecavir is removed by hemodialysis. Following a single 1 mg dose of entecavir administered two hours before the hemodialysis session, approximately 13% of the dose was removed over four hours of hemodialysis. Entecavir should be administered after hemodialysis.

References

  1. "Product Information. Baraclude (entecavir)." Bristol-Myers Squibb, Princeton, NJ.
Moderate

Entecavir (Includes Baraclude) ↔ Renal Dysfunction

Moderate Potential Hazard, High plausibility

Applies to: Renal Dysfunction

Entecavir is primarily eliminated by the kidney. Compared to patients with normal renal function (CrCl above 80 mL/min), peak plasma concentration (Cmax) and systemic exposure (AUC) of a single 1 mg dose of entecavir increased by 30% and 150%, respectively, in patients with moderate renal dysfunction (CrCl 30 to 49 mL/min), and 89% and 422%, respectively, in patients with severe renal dysfunction (CrCl below 30 mL/min). Systemic exposure was increased even further in patients with end-stage renal disease managed on dialysis. These patients had an approximately 8-fold increase in entecavir AUC compared to patients with normal renal function. Renal clearance of entecavir decreased by 65% and 89%, respectively, in patients with moderate and severe renal dysfunction. Dosage adjustment of entecavir is recommended for patients with CrCl below 50 mL/min, including patients on dialysis, in accordance with the manufacturer's product labeling.

References

  1. "Product Information. Baraclude (entecavir)." Bristol-Myers Squibb, Princeton, NJ.

Baraclude (entecavir) drug Interactions

There are 244 drug interactions with Baraclude (entecavir)

Baraclude (entecavir) alcohol/food Interactions

There is 1 alcohol/food interaction with Baraclude (entecavir)

Drug Interaction Classification

The classifications below are a general guideline only. It is difficult to determine the relevance of a particular drug interaction to any individual given the large number of variables.

Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.

Do not stop taking any medications without consulting your healthcare provider.

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