Drug Interactions between buprenorphine / naloxone and posaconazole
This report displays the potential drug interactions for the following 2 drugs:
- buprenorphine/naloxone
- posaconazole
Interactions between your drugs
buprenorphine posaconazole
Applies to: buprenorphine / naloxone and posaconazole
Consumer information for this interaction is not currently available.
CONTRAINDICATED: Coadministration with posaconazole may increase the plasma concentrations of CYP450 3A4 substrates that can prolong the QT interval, possibly resulting in QT prolongation and cases of torsade de pointes (TdP). The underlying mechanism is decreased clearance due to inhibition of CYP450 3A4 activity by posaconazole. In general, the risk of an individual agent or a combination of agents causing ventricular arrhythmia in association with QT prolongation is largely unpredictable but may be increased by certain underlying risk factors such as congenital long QT syndrome, cardiac disease, and electrolyte disturbances (e.g., hypokalemia, hypomagnesemia). In addition, the extent of drug-induced QT prolongation is dependent on the particular drug(s) involved and dosage(s) of the drug(s).
MANAGEMENT: Coadministration of posaconazole with CYP450 3A4 substrates that can prolong the QT interval is considered contraindicated.
References
- "Product Information. Noxafil (posaconazole)." Schering-Plough Corporation (2006):
- Agencia EspaƱola de Medicamentos y Productos Sanitarios Healthcare "Centro de informaciĆ³n online de medicamentos de la AEMPS - CIMA. https://cima.aemps.es/cima/publico/home.html" (2008):
- "Product Information. Posaconazole (AKM) (posaconazole)." Pharmacor Pty Ltd (2022):
- "Product Information. Posaconazole (posaconazole)." Morningside Healthcare Ltd (2024):
- "Product Information. Posaconazole (posaconazole)." Eugia US LLC (2023):
- "Product Information. Gln-Posaconazole (posaconazole)." Glenmark Pharmaceuticals Canada Inc (2023):
Drug and food interactions
buprenorphine food
Applies to: buprenorphine / naloxone
Using buprenorphine together with other medications that also cause central nervous system depression can lead to serious side effects such as respiratory distress, coma, and even death. Talk to your doctor if you have any questions or concerns. Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or more frequent monitoring to safely use both medications. Do not drink alcohol or self-medicate with these medications without your doctor's approval, and do not exceed the doses or frequency and duration of use prescribed by your doctor. Also, you should avoid driving or operating hazardous machinery until you know how these medications affect you. 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.
posaconazole food
Applies to: posaconazole
Food significantly increases the absorption of posaconazole from the tablet or suspension formulations. The manufacturer recommends that you take the tablet with food and the oral suspension during or immediately (within 20 minutes) after a full meal. If you cannot eat a full meal, you should take the oral suspension with a liquid nutritional supplement like Ensure or an acidic carbonated beverage like ginger ale. Do not take these medications on an empty stomach, as it may lead to inadequate blood levels and reduced effectiveness. Ask your doctor before using alcohol together with posaconazole from delayed release suspension formulations as this may cause an increase in side effects. Talk to your doctor or pharmacist if you have any questions on how to use the medication properly.
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.
See also
Drug Interaction Classification
Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
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. | |
No interaction information available. |
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
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