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Drug Interactions between Agamree and spironolactone

This report displays the potential drug interactions for the following 2 drugs:

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Interactions between your drugs

Moderate

spironolactone vamorolone

Applies to: spironolactone and Agamree (vamorolone)

Consumer information for this interaction is not currently available.

MONITOR: Concomitant use of vamorolone and mineralocorticoid receptor antagonists may increase the risk of hyperkalemia. Inhibition of the mineralocorticoid receptor results in decreased aldosterone secretion which can lead to increases in serum potassium. Vamorolone has mineralocorticoid receptor antagonist activity which may be additive with that induced by mineralocorticoid receptor antagonists. Hyperkalemia has not been observed with vamorolone alone or in combination with eplerenone or spironolactone. Clinical data is not available.

MANAGEMENT: Some authorities advise caution if vamorolone is used with mineralocorticoid receptor antagonists, particularly in patients with renal impairment, diabetes, old age, worsening heart failure, and/or a risk for dehydration. Serum potassium should be checked one month after beginning combination therapy with vamorolone and a mineralocorticoid receptor antagonist. Patients should be advised to seek medical attention if they experience signs and symptoms of hyperkalemia such as weakness, listlessness, confusion, tingling of the extremities, and irregular heartbeat. If hyperkalemia occurs, a mineralocorticoid receptor antagonist dose reduction should be considered.

Drug and food interactions

Moderate

vamorolone food

Applies to: Agamree (vamorolone)

Grapefruit juice may increase the blood levels and effects of vamorolone. This may increase the risk and/or severity of side effects such as swelling, weight gain, electrolyte abnormalities, high blood pressure, high blood glucose, muscle weakness, depression, mood swings, acne, thinning skin, stretch marks, easy bruising, cataracts, glaucoma, excessive growth of facial or body hair, and abnormal distribution of body fat, especially in the face, neck, back, and waist. Other side effects that may occur include decreased ability to fight infections, increased risk of developing infections, and inadequate response to stress such as infection, surgery, trauma, or a severe asthma attack. Talk to your doctor if you have any questions or concerns. 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.

Moderate

spironolactone food

Applies to: spironolactone

Spironolactone and ethanol (alcohol) may have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. These side effects are most likely to be seen at the beginning of treatment, following a dose increase, or when treatment is restarted after an interruption. Let your doctor know if you develop these symptoms and they do not go away after a few days or they become troublesome. Avoid driving or operating hazardous machinery until you know how the medications affect you, and use caution when getting up from a sitting or lying position. 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.

Therapeutic duplication warnings

No warnings were found for your selected drugs.

Therapeutic duplication warnings are only returned when drugs within the same group exceed the recommended therapeutic duplication maximum.


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Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.
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.
Unknown No interaction information available.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.