Drug Interaction Report
1 potential interaction and/or warning found for the following 2 drugs:
- aprocitentan
- Cholbam (cholic acid)
Interactions between your drugs
cholic acid aprocitentan
Applies to: Cholbam (cholic acid), aprocitentan
GENERALLY AVOID: Coadministration with inhibitors of the bile salt efflux pump (BSEP) may exacerbate accumulation of conjugated bile salts in the liver and lead to clinical symptoms in patients treated with cholic acid.
MANAGEMENT: Concomitant use of cholic acid with drugs that inhibit canalicular membrane bile acid transporters such as the BSEP should generally be avoided. If coadministration is required, close monitoring of serum transaminases and bilirubin is recommended. In addition, serum and urine bile acid levels should be monitored, and the cholic acid dose adjusted accordingly.
References (2)
- Cerner Multum, Inc. "UK Summary of Product Characteristics."
- (2015) "Product Information. Cholbam (cholic acid)." Manchester Pharmaceutical
Drug and food interactions
No alcohol/food interactions were found with the drugs in your list. However, this does not necessarily mean no food interactions exist. Always consult your healthcare provider.
Therapeutic duplication warnings
No duplication 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
| 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. |
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Further information
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