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Wirkstoffe & Arzneimittelsicherheit

Exakte Wirkstoffkennungen und zitierbare Passagen zu Wechselwirkungen, Gegenanzeigen und Nebenwirkungen.

Ein Paarvergleich findet Originalpassagen, die den anderen Wirkstoff wörtlich nennen. Aussagen gelten für das jeweilige Präparat und seine Formulierung. Klassenbegriffe und abweichende Synonyme können fehlen. Kein Treffer bedeutet nicht, dass keine Wechselwirkung besteht.

RxNorm 05-Oct-2026 · geprüft 2026-10-25 · 1009 Präparate · 54812 Quellenpassagen · 148 strukturierte Aussagen. Automatisch aktualisiert, ohne menschliche Freigabe.

Quellenpassagen (7)

Wechselwirkungen · Norvir

Norvir 100 mg powder for oral suspension · Abschnitt 4.5 · PDF-Seite 14

HOS-086223 · Präparat HOS-083284

Fostamatinib Co-administration of fostamatinib with ritonavir may increase fostamatinib metabolite R406 exposure resulting in dose-related adverse events such as hepatotoxicity, neutropenia, hypertension, or diarrhoea. Refer to the fostamatinib SmPC for dose reduction recommendations if such events occur.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): fostamatinib (HOS-086224)

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Version 2025-11-11T18:35:00Z · SHA-256 82413695e61cf39577e85c47e382ee60197570a4ae72fe81d6e24e4211cd2d43 · Passage b45c2bea8b8de4f2edce7c92a4eb7ddf682ac35f27d445f0b8195555eb763c89 · Zeichen 18975–19416 im Abschnitt

Wechselwirkungen · Norvir

Norvir 100 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 46

HOS-086424 · Präparat HOS-083284

Fostamatinib Co-administration of fostamatinib with ritonavir may increase fostamatinib metabolite R406 exposure resulting in dose-related adverse events such as hepatotoxicity, neutropenia, hypertension, or diarrhoea. Refer to the fostamatinib SmPC for dose reduction recommendations if such events occur.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): fostamatinib (HOS-086224)

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Version 2025-11-11T18:35:00Z · SHA-256 82413695e61cf39577e85c47e382ee60197570a4ae72fe81d6e24e4211cd2d43 · Passage 5aa5f0d7033075dd18357ba4c3347f6a1e84b4c4bf6a12df09ec20499e2fd040 · Zeichen 19786–20231 im Abschnitt

Wechselwirkungen · Kaletra

Kaletra (80 mg + 20 mg) / ml oral solution · Abschnitt 4.5 · PDF-Seite 14

HOS-108873 · Präparat HOS-093083

Due to BCRP (breast cancer resistance protein/ABCG2) and acute P-gp inhibition by lopinavir/ritonavir. Ceritinib Serum concentrations may be Caution should be exercised in increased due to CYP3A and administering ceritinib with P-gp inhibition by Kaletra. Refer to the ceritinib lopinavir/ritonavir. SmPC for dosage adjustment recommendations. Monitor for ADRs related to ceritinib. Most tyrosine kinase Most tyrosine kinase inhibitors Careful monitoring of the tolerance inhibitors such as dasatinib such as dasatinib and nilotinib, of these anticancer agents. and nilotinib, vincristine, also vincristine and vinblastine: vinblastine Risk of increased adverse events due to higher serum concentrations because of CYP3A4 inhibition by lopinavir/ritonavir. Encorafenib Serum concentrations may be Co-administration of encorafenib increased due to CYP3A with Kaletra may increase inhibition by lopinavir/ritonavir. encorafenib exposure which may increase the risk of toxicity, including the risk of serious adverse events such as QT interval prolongation. Co-administration of encorafenib and Kaletra should be avoided. If the benefit is considered to outweigh the risk and Kaletra must be used, patients should be carefully monitored for safety. Fostamatinib Increase in fostamatinib Co-administration of fostamatinib metabolite R406 exposure. with Kaletra may increase fostamatinib metabolite R406 exposure resulting in dose-related adverse events such as hepatotoxicity, neutropenia, hypertension, or diarrhoea. Refer to the fostamatinib SmPC for dose reduction recommendations if such events occur.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): ceritinib (HOS-086215) dasatinib (HOS-086217) vinblastine (HOS-086220) vincristine (HOS-086219) encorafenib (HOS-086222) tyrosine (HOS-108875) nilotinib (HOS-086218) fostamatinib (HOS-086224)

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Version 2025-12-02T16:00:00Z · SHA-256 441d9e5f9e4b42d645e4bd802abc892cef6574b0be5b3f18d2a96678774ae365 · Passage f5ee8e193a63fbfc6f13a97d10087b8507fd2ece74570ff6426e080b1664ce91 · Zeichen 15461–19027 im Abschnitt

Wechselwirkungen · Kaletra

Kaletra 200 mg/50 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 51

HOS-109008 · Präparat HOS-093083

Due to BCRP (breast cancer resistance protein/ABCG2) and acute P-gp inhibition by lopinavir/ritonavir. Ceritinib Serum concentrations may be Caution should be exercised in increased due to CYP3A and P-gp administering ceritinib with Kaletra. inhibition by lopinavir/ritonavir. Refer to the ceritinib SmPC for dosage adjustment recommendations. Monitor for ADRs related to ceritinib. Most tyrosine kinase Most tyrosine kinase inhibitors Careful monitoring of the tolerance inhibitors such as such as dasatinib and nilotinib, of these anticancer agents. dasatinib and nilotinib, also vincristine and vinblastine: vincristine, vinblastine Risk of increased adverse events due to higher serum concentrations because of CYP3A4 inhibition by lopinavir/ritonavir. Encorafenib Serum concentrations may be Co-administration of encorafenib increased due to CYP3A with Kaletra may increase inhibition by lopinavir/ritonavir. encorafenib exposure which may increase the risk of toxicity, including the risk of serious adverse events such as QT interval prolongation. Co-administration of encorafenib and Kaletra should be avoided. If the benefit is considered to outweigh the risk and Kaletra must be used, patients should be carefully monitored for safety. Fostamatinib Increase in fostamatinib Co-administration of fostamatinib metabolite R406 exposure. with Kaletra may increase fostamatinib metabolite R406 exposure resulting in dose-related adverse events such as hepatotoxicity, neutropenia, hypertension, or diarrhoea. Refer to the fostamatinib SmPC for dose reduction recommendations if such events occur. Ibrutinib Serum concentrations may be Co-administration of ibrutinib and increased due to CYP3A Kaletra may increase ibrutinib inhibition by lopinavir/ritonavir. exposure which may increase the risk of toxicity including risk of tumor lysis syndrome. Co-administration of ibrutinib and Kaletra should be avoided. If the benefit is considered to outweigh the risk and Kaletra must be used, reduce the ibrutinib dose to 140 mg and monitor patient closely for toxicity.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): ceritinib (HOS-086215) dasatinib (HOS-086217) vinblastine (HOS-086220) vincristine (HOS-086219) encorafenib (HOS-086222) tyrosine (HOS-108875) nilotinib (HOS-086218) fostamatinib (HOS-086224) ibrutinib (HOS-086226)

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Version 2025-12-02T16:00:00Z · SHA-256 441d9e5f9e4b42d645e4bd802abc892cef6574b0be5b3f18d2a96678774ae365 · Passage fdf43c7972e8bad9c23624bb28b17126727cc97af42d31ac6b82ada1aa394853 · Zeichen 15203–19620 im Abschnitt

Wechselwirkungen · Kaletra

Kaletra 100 mg/25 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 86–87

HOS-109083 · Präparat HOS-093083

86 Fostamatinib Increase in fostamatinib Co-administration of fostamatinib metabolite R406 exposure. with Kaletra may increase fostamatinib metabolite R406 exposure resulting in dose-related adverse events such as hepatotoxicity, neutropenia, hypertension, or diarrhoea. Refer to the fostamatinib SmPC for dose reduction recommendations if such events occur. Ibrutinib Serum concentrations may be Co-administration of ibrutinib and increased due to CYP3A Kaletra may increase ibrutinib inhibition by lopinavir/ritonavir. exposure which may increase the risk of toxicity including risk of tumor lysis syndrome. Co-administration of ibrutinib and Kaletra should be avoided. If the benefit is considered to outweigh the risk and Kaletra must be used, reduce the ibrutinib dose to 140 mg and monitor patient closely for toxicity. Neratinib Serum concentrations may be Concomitant use of neratinib with increased due to CYP3A Kaletra is contraindicated due to inhibition by ritonavir. serious and/or life-threatening potential reactions including hepatotoxicity (see section 4.3). Venetoclax Due to CYP3A inhibition by Serum concentrations may be lopinavir/ritonavir. increased due to CYP3A inhibition by lopinavir/ritonavir, resulting in increased risk of tumor lysis syndrome at the dose initiation and during the ramp-up phase (see section 4.3 and refer to the venetoclax SmPC).

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): neratinib (HOS-086142) venetoclax (HOS-086143) fostamatinib (HOS-086224) ibrutinib (HOS-086226)

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Version 2025-12-02T16:00:00Z · SHA-256 441d9e5f9e4b42d645e4bd802abc892cef6574b0be5b3f18d2a96678774ae365 · Passage c9bb2caafb1e7537cc621ca3de26840b2503f0c9b5c58c2565a4a56335290183 · Zeichen 17969–20931 im Abschnitt

Wechselwirkungen · Reyataz

REYATAZ 200 mg hard capsules REYATAZ 300 mg hard capsules · Abschnitt 4.5 · PDF-Seite 21–22

HOS-112110 · Präparat HOS-093615

21 Medicinal products by Interaction Recommendations concerning co- therapeutic area administration KINASE INHIBITORS Fostamatinib The mechanism of interaction is CYP3A4 Concomitant use of fostamatinib inhibition by atazanavir and/or ritonavir. with REYATAZ (with or without ritonavir) may increase the plasma concentration of R406, the active metabolite of fostamatinib. Monitor for toxicities of R406 exposure resulting in dose-related adverse events such as hepatotoxicity and neutropenia. Fostamatinib dose reduction may be required. HERBAL PRODUCTS St. John’s wort (Hypericum Concomitant use of St. John's wort with Co-administration of REYATAZ perforatum) REYATAZ may be expected to result in with products containing St. John's significant reduction in plasma levels of wort is contraindicated. atazanavir. This effect may be due to an induction of CYP3A4. There is a risk of loss of therapeutic effect and development of resistance (see section 4.3). HORMONAL CONTRACEPTIVES Ethinyloestradiol 25 μg + Ethinyloestradiol AUC: ↓19% (↓25% If an oral contraceptive is norgestimate ↓13%) administered with (atazanavir 300 mg once daily Ethinyloestradiol Cmax: ↓16% (↓26% ↓5%) REYATAZ/ritonavir, it is with ritonavir 100 mg once daily) Ethinyloestradiol Cmin: ↓37% (↓45% recommended that the oral ↓29%) contraceptive contain at least 30 μg of ethinyloestradiol and that the Norgestimate AUC: ↑85% (↑67% ↑105%) patient be reminded of strict Norgestimate Cmax: ↑68% (↑51% ↑88%) compliance with this contraceptive Norgestimate Cmin: ↑102% (↑77% ↑131%) dosing regimen. Co-administration of REYATAZ/ritonavir with other While the concentration of hormonal contraceptives or oral ethinyloestradiol was increased with contraceptives containing atazanavir given alone, due to both UGT progestogens other than and CYP3A4 inhibition by atazanavir, the norgestimate has not been studied, net effect of atazanavir/ritonavir is a and therefore should be avoided. decrease in ethinyloestradiol levels An alternate reliable method of because of the inducing effect of ritonavir. contraception is recommended.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): norgestimate (HOS-110544) ritonavir (HOS-084521) fostamatinib (HOS-086224)

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Version 2026-06-29T13:00:00Z · SHA-256 ff5481974bd7c752b73fa0c147cf3e96fc892edc735359fa71817833db471beb · Passage 88d66ceb04488e865827a92aeb749971b0146f4e3c2b6030736f981f76f4f80b · Zeichen 61675–65625 im Abschnitt

Wechselwirkungen · Reyataz

REYATAZ 50 mg oral powder · Abschnitt 4.5 · PDF-Seite 57–58

HOS-112198 · Präparat HOS-093615

57 Medicinal products by Interaction Recommendations therapeutic area concerning co-administration KINASE INHIBITORS Fostamatinib The mechanism of interaction is CYP3A4 Concomitant use of inhibition by atazanavir and/or ritonavir. fostamatinib with REYATAZ (with or without ritonavir) may increase the plasma concentration of R406, the active metabolite of fostamatinib. Monitor for toxicities of R406 exposure resulting in dose-related adverse events such as hepatotoxicity and neutropenia. Fostamatinib dose reduction may be required. HERBAL PRODUCTS St. John’s wort (Hypericum Concomitant use of St. John's wort with Co-administration of perforatum) REYATAZ may be expected to result in REYATAZ with products significant reduction in plasma levels of containing St. John's wort is atazanavir. This effect may be due to an contraindicated. induction of CYP3A4. There is a risk of loss of therapeutic effect and development of resistance (see section 4.3). HORMONAL CONTRACEPTIVES Ethinyloestradiol 25 μg + Ethinyloestradiol AUC: ↓19% (↓25% If an oral contraceptive is norgestimate ↓13%) administered with (atazanavir 300 mg once daily Ethinyloestradiol Cmax: ↓16% (↓26% ↓5%) REYATAZ/ritonavir, it is with ritonavir 100 mg once Ethinyloestradiol Cmin: ↓37% (↓45% ↓29%) recommended that the oral daily) contraceptive contain at least Norgestimate AUC: ↑85% (↑67% ↑105%) 30 μg of ethinyloestradiol and Norgestimate Cmax: ↑68% (↑51% ↑88%) that the patient be reminded of Norgestimate Cmin: ↑102% (↑77% ↑131%) strict compliance with this contraceptive dosing regimen. While the concentration of Co-administration of ethinyloestradiol was increased with REYATAZ/ritonavir with atazanavir given alone, due to both UGT other hormonal contraceptives and CYP3A4 inhibition by atazanavir, the or oral contraceptives net effect of atazanavir/ritonavir is a containing progestogens other decrease in ethinyloestradiol levels because than norgestimate has not been of the inducing effect of ritonavir. studied, and therefore should be avoided. An alternate The increase in progestin exposure may reliable method of lead to related side effects (e.g., insulin contraception is recommended. resistance, dyslipidemia, acne and spotting), thus possibly affecting the compliance.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): norgestimate (HOS-110544) lead (HOS-085592) ritonavir (HOS-084521) fostamatinib (HOS-086224)

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Version 2026-06-29T13:00:00Z · SHA-256 ff5481974bd7c752b73fa0c147cf3e96fc892edc735359fa71817833db471beb · Passage b9defd86fb4b9ba4d41aa8bd1a8e8d62460525287329f28f7b9f1aafde957e42 · Zeichen 64152–68533 im Abschnitt

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