Wechselwirkungen von Gemfibrozil

Gemfibrozil (Lopid), ein Fibrat, hat in den von uns erfassten FDA-Fachinformationen und Faktenblättern 79 dokumentierte Wechselwirkungen: 13 schwerwiegende, 51 mittelschwere, 14 geringfügige und 1, bei denen eine Fachinformation keine relevante Wechselwirkung berichtet. Jeder Eintrag unten zitiert den Satz, auf dem er beruht. Diese Medikamentenseite ist ein Ausgangspunkt, kein Urteil über Ihre persönliche Situation.

Wechselwirkungen laut Fachinformation

Schwerwiegende Wechselwirkungen (13)

  • Amlodipin und AtorvastatinDihydropyridin-CalciumkanalblockerSchwerwiegend

    Drug Interactions (A) HMG-CoA Reductase Inhibitors The concomitant administration of LOPID with simvastatin is contraindicated (see CONTRAINDICATIONS and WARNINGS ). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • AtorvastatinStatinSchwerwiegend

    Drug Interactions (A) HMG-CoA Reductase Inhibitors The concomitant administration of LOPID with simvastatin is contraindicated (see CONTRAINDICATIONS and WARNINGS ). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • BexarotenRetinoidSchwerwiegend

    Because of a potential drug-drug interaction, avoid gemfibrozil use with TARGRETIN [ see Drug Interactions (7) ]. (Fachinformation zu Bexaroten, Warnhinweise und Vorsichtsmaßnahmen)

  • EluxadolinOpioidSchwerwiegend

    Examples: cyclosporine, gemfibrozil, antiretrovirals (atazanavir, lopinavir, ritonavir, saquinavir, tipranavir), rifampin, eltrombopag Drugs that Cause Constipation Clinical Impact: Increased risk for constipation related adverse reactions and potential for constipation related serious adverse reactions Intervention: Avoid use with other drugs that may cause… (Fachinformation zu Eluxadolin, Arzneimittelwechselwirkungen)

  • EzetimibSchwerwiegend

    Co-administration of ZETIA with fibrates other than fenofibrate is not recommended [see Adverse Reactions (6.1) ] . (Fachinformation zu Ezetimib, Arzneimittelwechselwirkungen)

  • Ezetimib und SimvastatinStatinSchwerwiegend

    Combination therapy of gemfibrozil with simvastatin (see WARNINGS and PRECAUTIONS ). (Fachinformation zu Gemfibrozil, Gegenanzeigen)

  • FluvastatinStatinSchwerwiegend

    Drug Interactions (A) HMG-CoA Reductase Inhibitors The concomitant administration of LOPID with simvastatin is contraindicated (see CONTRAINDICATIONS and WARNINGS ). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • LovastatinStatinSchwerwiegend

    Drug Interactions (A) HMG-CoA Reductase Inhibitors The concomitant administration of LOPID with simvastatin is contraindicated (see CONTRAINDICATIONS and WARNINGS ). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • PitavastatinStatinSchwerwiegend

    Drug Interactions (A) HMG-CoA Reductase Inhibitors The concomitant administration of LOPID with simvastatin is contraindicated (see CONTRAINDICATIONS and WARNINGS ). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • PravastatinStatinSchwerwiegend

    Drug Interactions (A) HMG-CoA Reductase Inhibitors The concomitant administration of LOPID with simvastatin is contraindicated (see CONTRAINDICATIONS and WARNINGS ). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • RepaglinidGlinidSchwerwiegend

    Combination therapy of gemfibrozil with repaglinide (see PRECAUTIONS ). (Fachinformation zu Gemfibrozil, Gegenanzeigen)

  • RosuvastatinStatinSchwerwiegend

    Avoid concomitant use of LOPID with rosuvastatin. (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • SimvastatinStatinSchwerwiegend

    Combination therapy of gemfibrozil with simvastatin (see WARNINGS and PRECAUTIONS ). (Fachinformation zu Gemfibrozil, Gegenanzeigen)

Mittelschwere Wechselwirkungen (51)

  • Amlodipin und OlmesartanDihydropyridin-CalciumkanalblockerMittelschwer

    OATP1B1 substrates – Gemfibrozil is an inhibitor of organic anion-transporter polyprotein (OATP) 1B1 and may increase exposure of drugs that are substrates of OATP1B1 (e.g., atrasentan, atorvastatin, bosentan, ezetimibe, fluvastatin, glyburide, SN-38 [active metabolite of irinotecan], rosuvastatin, pitavastatin, pravastatin, rifampin, valsartan, olmesartan). (Fachinformation zu Gemfibrozil, Warnhinweise)

  • Amlodipin und ValsartanDihydropyridin-CalciumkanalblockerMittelschwer

    OATP1B1 substrates – Gemfibrozil is an inhibitor of organic anion-transporter polyprotein (OATP) 1B1 and may increase exposure of drugs that are substrates of OATP1B1 (e.g., atrasentan, atorvastatin, bosentan, ezetimibe, fluvastatin, glyburide, SN-38 [active metabolite of irinotecan], rosuvastatin, pitavastatin, pravastatin, rifampin, valsartan, olmesartan). (Fachinformation zu Gemfibrozil, Warnhinweise)

  • ApixabanAntikoagulans (Gerinnungshemmer)Mittelschwer

    Concomitant Anticoagulants – Caution should be exercised when warfarin is given in conjunction with LOPID. (Fachinformation zu Gemfibrozil, Warnhinweise)

  • ArgatrobanAntikoagulans (Gerinnungshemmer)Mittelschwer

    Concomitant Anticoagulants – Caution should be exercised when warfarin is given in conjunction with LOPID. (Fachinformation zu Gemfibrozil, Warnhinweise)

  • BempedoinsäureOATP1B1-HemmerMittelschwer

    Fibrates Clinical Impact: Concomitant administration of fibrates with NEXLETOL resulted in increased triglycerides and decreased high-density lipoprotein cholesterol (HDL-C) in some patients in clinical studies and post-marketing reports. (Fachinformation zu Bempedoinsäure, Arzneimittelwechselwirkungen)

  • BivalirudinAntikoagulans (Gerinnungshemmer)Mittelschwer

    Concomitant Anticoagulants – Caution should be exercised when warfarin is given in conjunction with LOPID. (Fachinformation zu Gemfibrozil, Warnhinweise)

  • BosentanCYP3A4-InduktorMittelschwer

    OATP1B1 substrates – Gemfibrozil is an inhibitor of organic anion-transporter polyprotein (OATP) 1B1 and may increase exposure of drugs that are substrates of OATP1B1 (e.g., atrasentan, atorvastatin, bosentan, ezetimibe, fluvastatin, glyburide, SN-38 [active metabolite of irinotecan], rosuvastatin, pitavastatin, pravastatin, rifampin, valsartan, olmesartan). (Fachinformation zu Gemfibrozil, Warnhinweise)

  • BrincidofovirVirostatikumMittelschwer

    …TEMBEXA Inhibitors for Organic Anion Transporting Polypeptide (OATP) 1B1 and 1B3 Concomitant use of TEMBEXA with OATP1B1 and 1B3 inhibitors (clarithromycin, cyclosporine, erythromycin, gemfibrozil, human immunodeficiency virus [HIV] and hepatitis C virus [HCV] protease inhibitors, rifampin [single dose]) increase brincidofovir AUC and C max which may increase TEMBEXA-associated… (Fachinformation zu Brincidofovir, Arzneimittelwechselwirkungen)

  • CiclosporinImmunsuppressivumMittelschwer

    …Antineoplastics Antifungals Anti-inflammatory Drugs Gastrointestinal Agents Immunosuppressives Other Drugs ciprofloxacin melphalan amphotericin B azapropazon cimetidine tacrolimus fibric acid derivatives (e.g., bezafibrate, fenofibrate) gentamicin ketoconazole colchicine ranitidine methotrexate tobramycin diclofenac trimethoprim with sulfamethoxazole naproxen… (Fachinformation zu Ciclosporin, Arzneimittelwechselwirkungen)

  • ColchicinMittelschwer

    (G) Colchicine Myopathy, including rhabdomyolysis, has been reported with chronic administration of colchicine at therapeutic doses. (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • ColesevelamGallensäurebinderMittelschwer

    (F) Bile Acid-Binding Resins Gemfibrozil AUC was reduced by 30% when gemfibrozil was given (600 mg) simultaneously with resin-granule drugs such as colestipol (5 g). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • ColestipolGallensäurebinderMittelschwer

    Administration of the drugs two hours or more apart is recommended because gemfibrozil exposure was not significantly affected when it was administered two hours apart from colestipol. (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • ColestyraminGallensäurebinderMittelschwer

    (F) Bile Acid-Binding Resins Gemfibrozil AUC was reduced by 30% when gemfibrozil was given (600 mg) simultaneously with resin-granule drugs such as colestipol (5 g). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • DabigatranAntikoagulans (Gerinnungshemmer)Mittelschwer

    Concomitant Anticoagulants – Caution should be exercised when warfarin is given in conjunction with LOPID. (Fachinformation zu Gemfibrozil, Warnhinweise)

  • EdoxabanAntikoagulans (Gerinnungshemmer)Mittelschwer

    Concomitant Anticoagulants – Caution should be exercised when warfarin is given in conjunction with LOPID. (Fachinformation zu Gemfibrozil, Warnhinweise)

  • EnoxaparinAntikoagulans (Gerinnungshemmer)Mittelschwer

    Concomitant Anticoagulants – Caution should be exercised when warfarin is given in conjunction with LOPID. (Fachinformation zu Gemfibrozil, Warnhinweise)

  • FenofibratFibratMittelschwer

    A comparative carcinogenicity study was also done in rats comparing three drugs in this class: fenofibrate (10 and 60 mg/kg; 0.3 and 1.6 times the human dose, respectively), clofibrate (400 mg/kg; 1.6 times the human dose), and gemfibrozil (250 mg/kg; 1.7 times the human dose). (Fachinformation zu Gemfibrozil, Warnhinweise)

  • FondaparinuxAntikoagulans (Gerinnungshemmer)Mittelschwer

    Concomitant Anticoagulants – Caution should be exercised when warfarin is given in conjunction with LOPID. (Fachinformation zu Gemfibrozil, Warnhinweise)

  • GlibenclamidSulfonylharnstoffMittelschwer

    OATP1B1 substrates – Gemfibrozil is an inhibitor of organic anion-transporter polyprotein (OATP) 1B1 and may increase exposure of drugs that are substrates of OATP1B1 (e.g., atrasentan, atorvastatin, bosentan, ezetimibe, fluvastatin, glyburide, SN-38 [active metabolite of irinotecan], rosuvastatin, pitavastatin, pravastatin, rifampin, valsartan, olmesartan). (Fachinformation zu Gemfibrozil, Warnhinweise)

  • Glibenclamid und MetforminSulfonylharnstoffMittelschwer

    OATP1B1 substrates – Gemfibrozil is an inhibitor of organic anion-transporter polyprotein (OATP) 1B1 and may increase exposure of drugs that are substrates of OATP1B1 (e.g., atrasentan, atorvastatin, bosentan, ezetimibe, fluvastatin, glyburide, SN-38 [active metabolite of irinotecan], rosuvastatin, pitavastatin, pravastatin, rifampin, valsartan, olmesartan). (Fachinformation zu Gemfibrozil, Warnhinweise)

  • GlimepiridSulfonylharnstoffMittelschwer

    …susceptibility to and/or intensity of hypoglycemia: oral anti-diabetic medications, pramlintide acetate, insulin, angiotensin converting enzyme (ACE) inhibitors, H 2 receptor antagonists, fibrates, propoxyphene, pentoxifylline, somatostatin analogs, anabolic steroids and androgens, cyclophosphamide, phenyramidol, guanethidine, fluconazole, sulfinpyrazone, tetracyclines,… (Fachinformation zu Glimepirid, Arzneimittelwechselwirkungen)

  • GlipizidSulfonylharnstoffMittelschwer

    …effect of GLUCOTROL XL, increase the susceptibility to and/or intensity of hypoglycemia: antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, propoxyphene, salicylates, somatostatin analogs (e.g., octreotide), sulfonamide antibiotics, nonsteroidal… (Fachinformation zu Glipizid, Arzneimittelwechselwirkungen)

  • HeparinAntikoagulans (Gerinnungshemmer)Mittelschwer

    Concomitant Anticoagulants – Caution should be exercised when warfarin is given in conjunction with LOPID. (Fachinformation zu Gemfibrozil, Warnhinweise)

  • Humaninsulin (Normalinsulin)InsulinMittelschwer

    Clinically Significant Drug Interactions with AFREZZA Antidiabetic agents, Angiotensin-Converting Enzyme Inhibitors, Angiotensin II Receptor Blocking Agents, Disopyramide, Fibrates, Fluoxetine, Monoamine Oxidase Inhibitors, Pentoxifylline, Pramlintide, Salicylates, Somatostatin Analogs (e.g., octreotide), and Sulfonamide Antibiotics Prevention or Management Monitor… (Fachinformation zu Humaninsulin (Normalinsulin), Arzneimittelwechselwirkungen)

  • Insulin aspartInsulinMittelschwer

    Drugs That May Increase the Risk of Hypoglycemia Drugs: Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analog (e.g., octreotide), and sulfonamide antibiotics. (Fachinformation zu Insulin aspart, Arzneimittelwechselwirkungen)

  • Insulin degludecInsulinMittelschwer

    …Interactions with Insulin Degludec Drugs That May Increase the Risk of Hypoglycemia Drugs: Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analogs (e.g., octreotide), and sulfonamide antibiotics, GLP-1 receptor agonists,… (Fachinformation zu Insulin degludec, Arzneimittelwechselwirkungen)

  • Insulin detemirInsulinMittelschwer

    …Drug Interactions with LEVEMIR Drugs That May Increase the Risk of Hypoglycemia Drugs: Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analogs (e.g., octreotide), and sulfonamide antibiotics, GLP-1 receptor agonists,… (Fachinformation zu Insulin detemir, Arzneimittelwechselwirkungen)

  • Insulin glarginInsulinMittelschwer

    …Interactions with Insulin Glargine-yfgn Drugs that May Increase the Risk of Hypoglycemia Drugs: Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analogs (e.g., octreotide), sulfonamide antibiotics, GLP-1 receptor agonists,… (Fachinformation zu Insulin glargin, Arzneimittelwechselwirkungen)

  • Insulin lisproInsulinMittelschwer

    Clinically Significant Drug Interactions with LYUMJEV Drugs That May Increase the Risk of Hypoglycemia Drugs: Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analogs (e.g., octreotide), and sulfonamide antibiotics. (Fachinformation zu Insulin lispro, Arzneimittelwechselwirkungen)

  • IrinotecanMittelschwer

    OATP1B1 substrates – Gemfibrozil is an inhibitor of organic anion-transporter polyprotein (OATP) 1B1 and may increase exposure of drugs that are substrates of OATP1B1 (e.g., atrasentan, atorvastatin, bosentan, ezetimibe, fluvastatin, glyburide, SN-38 [active metabolite of irinotecan], rosuvastatin, pitavastatin, pravastatin, rifampin, valsartan, olmesartan). (Fachinformation zu Gemfibrozil, Warnhinweise)

  • ItraconazolAzol-AntimykotikumMittelschwer

    In the same study, gemfibrozil (600 mg twice daily for 3 days) + itraconazole (200 mg in the morning and 100 mg in the evening at Day 1, then 100 mg twice daily at Day 2–3) resulted in a 19.4- (range 12.9- to 24.7-fold) higher repaglinide AUC and a 70.4-fold (range 42.9- to 119.2-fold) higher repaglinide plasma concentration 7 hours after the dose. (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • LoperamidQT-verlängerndes ArzneimittelMittelschwer

    (C) CYP2C8 Substrates Gemfibrozil is a strong inhibitor of CYP2C8 and may increase exposure of drugs mainly metabolized by CYP2C8 (e.g., dabrafenib, enzalutamide, loperamide, montelukast, paclitaxel, pioglitazone, rosiglitazone). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • MifepristonCYP3A4-HemmerMittelschwer

    Drugs Metabolized by CYP2C8/2C9 Because mifepristone is an inhibitor of CYP2C8/2C9, concurrent use of mifepristone with a drug whose metabolism is largely or solely mediated by CYP2C8/2C9 is likely to result in increased plasma concentrations of the drug. (Fachinformation zu Mifepriston, Arzneimittelwechselwirkungen)

  • MontelukastLeukotrienrezeptor-AntagonistMittelschwer

    (C) CYP2C8 Substrates Gemfibrozil is a strong inhibitor of CYP2C8 and may increase exposure of drugs mainly metabolized by CYP2C8 (e.g., dabrafenib, enzalutamide, loperamide, montelukast, paclitaxel, pioglitazone, rosiglitazone). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • OlmesartanAngiotensin-II-Rezeptorblocker (Sartan)Mittelschwer

    OATP1B1 substrates – Gemfibrozil is an inhibitor of organic anion-transporter polyprotein (OATP) 1B1 and may increase exposure of drugs that are substrates of OATP1B1 (e.g., atrasentan, atorvastatin, bosentan, ezetimibe, fluvastatin, glyburide, SN-38 [active metabolite of irinotecan], rosuvastatin, pitavastatin, pravastatin, rifampin, valsartan, olmesartan). (Fachinformation zu Gemfibrozil, Warnhinweise)

  • Olmesartan und HydrochlorothiazidAngiotensin-II-Rezeptorblocker (Sartan)Mittelschwer

    OATP1B1 substrates – Gemfibrozil is an inhibitor of organic anion-transporter polyprotein (OATP) 1B1 and may increase exposure of drugs that are substrates of OATP1B1 (e.g., atrasentan, atorvastatin, bosentan, ezetimibe, fluvastatin, glyburide, SN-38 [active metabolite of irinotecan], rosuvastatin, pitavastatin, pravastatin, rifampin, valsartan, olmesartan). (Fachinformation zu Gemfibrozil, Warnhinweise)

  • Olmesartan, Amlodipin und HydrochlorothiazidAngiotensin-II-Rezeptorblocker (Sartan)Mittelschwer

    OATP1B1 substrates – Gemfibrozil is an inhibitor of organic anion-transporter polyprotein (OATP) 1B1 and may increase exposure of drugs that are substrates of OATP1B1 (e.g., atrasentan, atorvastatin, bosentan, ezetimibe, fluvastatin, glyburide, SN-38 [active metabolite of irinotecan], rosuvastatin, pitavastatin, pravastatin, rifampin, valsartan, olmesartan). (Fachinformation zu Gemfibrozil, Warnhinweise)

  • PaclitaxelMittelschwer

    (C) CYP2C8 Substrates Gemfibrozil is a strong inhibitor of CYP2C8 and may increase exposure of drugs mainly metabolized by CYP2C8 (e.g., dabrafenib, enzalutamide, loperamide, montelukast, paclitaxel, pioglitazone, rosiglitazone). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • PioglitazonThiazolidindion (Glitazon)Mittelschwer

    (C) CYP2C8 Substrates Gemfibrozil is a strong inhibitor of CYP2C8 and may increase exposure of drugs mainly metabolized by CYP2C8 (e.g., dabrafenib, enzalutamide, loperamide, montelukast, paclitaxel, pioglitazone, rosiglitazone). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • Pioglitazon und GlimepiridThiazolidindion (Glitazon)Mittelschwer

    (C) CYP2C8 Substrates Gemfibrozil is a strong inhibitor of CYP2C8 and may increase exposure of drugs mainly metabolized by CYP2C8 (e.g., dabrafenib, enzalutamide, loperamide, montelukast, paclitaxel, pioglitazone, rosiglitazone). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • Pioglitazon und MetforminThiazolidindion (Glitazon)Mittelschwer

    (C) CYP2C8 Substrates Gemfibrozil is a strong inhibitor of CYP2C8 and may increase exposure of drugs mainly metabolized by CYP2C8 (e.g., dabrafenib, enzalutamide, loperamide, montelukast, paclitaxel, pioglitazone, rosiglitazone). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • (G) Colchicine Myopathy, including rhabdomyolysis, has been reported with chronic administration of colchicine at therapeutic doses. (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • RifampicinAntibiotikumMittelschwer

    OATP1B1 substrates – Gemfibrozil is an inhibitor of organic anion-transporter polyprotein (OATP) 1B1 and may increase exposure of drugs that are substrates of OATP1B1 (e.g., atrasentan, atorvastatin, bosentan, ezetimibe, fluvastatin, glyburide, SN-38 [active metabolite of irinotecan], rosuvastatin, pitavastatin, pravastatin, rifampin, valsartan, olmesartan). (Fachinformation zu Gemfibrozil, Warnhinweise)

  • RifapentinAntibiotikumMittelschwer

    …Phenobarbital Benzodiazepines Diazepam Beta-Blockers Propranolol Calcium Channel Blockers Diltiazem, nifedipine, verapamil Cardiac Glycoside Preparations Digoxin Corticosteroids Prednisone Fibrates Clofibrate Oral Hypoglycemics Sulfonylureas (e.g., glyburide, glipizide) Hormonal Contraceptives/Progestins Ethinyl estradiol, levonorgestrel Immunosuppressants Cyclosporine,… (Fachinformation zu Rifapentin, Arzneimittelwechselwirkungen)

  • RivaroxabanAntikoagulans (Gerinnungshemmer)Mittelschwer

    Concomitant Anticoagulants – Caution should be exercised when warfarin is given in conjunction with LOPID. (Fachinformation zu Gemfibrozil, Warnhinweise)

  • Sacubitril und ValsartanAngiotensin-II-Rezeptorblocker (Sartan)Mittelschwer

    OATP1B1 substrates – Gemfibrozil is an inhibitor of organic anion-transporter polyprotein (OATP) 1B1 and may increase exposure of drugs that are substrates of OATP1B1 (e.g., atrasentan, atorvastatin, bosentan, ezetimibe, fluvastatin, glyburide, SN-38 [active metabolite of irinotecan], rosuvastatin, pitavastatin, pravastatin, rifampin, valsartan, olmesartan). (Fachinformation zu Gemfibrozil, Warnhinweise)

  • SirolimusImmunsuppressivumMittelschwer

    During sirolimus therapy with or without cyclosporine, patients should be monitored for elevated lipids, and patients administered an HMG-CoA reductase inhibitor and/or fibrate should be monitored for the possible development of rhabdomyolysis and other adverse effects, as described in the respective labeling for these agents. (Fachinformation zu Sirolimus, Warnhinweise und Vorsichtsmaßnahmen)

  • TreprostinilProstaglandin-AnalogonMittelschwer

    Effect of Other Drugs on Treprostinil Co-administration of a cytochrome P450 (CYP) 2C8 enzyme inhibitor (e.g., gemfibrozil) may increase exposure (both C max and AUC) to treprostinil. (Fachinformation zu Treprostinil, Warnhinweise und Vorsichtsmaßnahmen)

  • ValsartanAngiotensin-II-Rezeptorblocker (Sartan)Mittelschwer

    OATP1B1 substrates – Gemfibrozil is an inhibitor of organic anion-transporter polyprotein (OATP) 1B1 and may increase exposure of drugs that are substrates of OATP1B1 (e.g., atrasentan, atorvastatin, bosentan, ezetimibe, fluvastatin, glyburide, SN-38 [active metabolite of irinotecan], rosuvastatin, pitavastatin, pravastatin, rifampin, valsartan, olmesartan). (Fachinformation zu Gemfibrozil, Warnhinweise)

  • Valsartan und HydrochlorothiazidAngiotensin-II-Rezeptorblocker (Sartan)Mittelschwer

    OATP1B1 substrates – Gemfibrozil is an inhibitor of organic anion-transporter polyprotein (OATP) 1B1 and may increase exposure of drugs that are substrates of OATP1B1 (e.g., atrasentan, atorvastatin, bosentan, ezetimibe, fluvastatin, glyburide, SN-38 [active metabolite of irinotecan], rosuvastatin, pitavastatin, pravastatin, rifampin, valsartan, olmesartan). (Fachinformation zu Gemfibrozil, Warnhinweise)

  • WarfarinAntikoagulans (Gerinnungshemmer)Mittelschwer

    The dosage of warfarin should be reduced to maintain the prothrombin time at the desired level to prevent bleeding complications. (Fachinformation zu Gemfibrozil, Warnhinweise)

Geringfügige Erwähnungen (14)

  • Atazanavirantiretrovirales ArzneimittelGeringfügig

    Atazanavir is a weak inhibitor of CYP2C8. (Fachinformation zu Atazanavir, Arzneimittelwechselwirkungen)

  • Cannabidiol (verschreibungspflichtig)AntiepileptikumGeringfügig

    (E) In vitro studies of CYP enzymes, UGTA enzymes and OATP1B1 transporter In vitro studies have shown that gemfibrozil is an inhibitor of CYP1A2, CYP2C8, CYP2C9, CYP2C19, OATP1B1, and UDP-glucuronosyltransferase (UGT) 1A1 and 1A3 (see WARNINGS ). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • CimetidinH2-BlockerGeringfügig

    (E) In vitro studies of CYP enzymes, UGTA enzymes and OATP1B1 transporter In vitro studies have shown that gemfibrozil is an inhibitor of CYP1A2, CYP2C8, CYP2C9, CYP2C19, OATP1B1, and UDP-glucuronosyltransferase (UGT) 1A1 and 1A3 (see WARNINGS ). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • CiprofloxacinFluorchinolonGeringfügig

    (E) In vitro studies of CYP enzymes, UGTA enzymes and OATP1B1 transporter In vitro studies have shown that gemfibrozil is an inhibitor of CYP1A2, CYP2C8, CYP2C9, CYP2C19, OATP1B1, and UDP-glucuronosyltransferase (UGT) 1A1 and 1A3 (see WARNINGS ). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • ClopidogrelThrombozytenaggregationshemmerGeringfügig

    Repaglinide (CYP2C8 Substrates) The acyl-β-glucuronide metabolite of clopidogrel is a strong inhibitor of CYP2C8. (Fachinformation zu Clopidogrel, Arzneimittelwechselwirkungen)

  • DeferasiroxEisenpräparatGeringfügig

    (E) In vitro studies of CYP enzymes, UGTA enzymes and OATP1B1 transporter In vitro studies have shown that gemfibrozil is an inhibitor of CYP1A2, CYP2C8, CYP2C9, CYP2C19, OATP1B1, and UDP-glucuronosyltransferase (UGT) 1A1 and 1A3 (see WARNINGS ). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • FenofibrinsäureFibratGeringfügig

    Because of chemical, pharmacological, and clinical similarities between fenofibrates, including fenofibric acid delayed-release capsules; pemafibrate; clofibrate; and gemfibrozil; the findings in 5 large randomized, placebo-controlled clinical trials with these other fibrate drugs may also apply to fenofibric acid delayed-release capsules. (Fachinformation zu Fenofibrinsäure, Warnhinweise und Vorsichtsmaßnahmen)

  • FluvoxaminSSRIGeringfügig

    (E) In vitro studies of CYP enzymes, UGTA enzymes and OATP1B1 transporter In vitro studies have shown that gemfibrozil is an inhibitor of CYP1A2, CYP2C8, CYP2C9, CYP2C19, OATP1B1, and UDP-glucuronosyltransferase (UGT) 1A1 and 1A3 (see WARNINGS ). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • LeflunomidImmunsuppressivumGeringfügig

    Effect on CYP2C8 Substrates Teriflunomide is an inhibitor of CYP2C8 in vivo . (Fachinformation zu Leflunomid, Arzneimittelwechselwirkungen)

  • Maravirocantiretrovirales ArzneimittelGeringfügig

    The pharmacokinetics of maraviroc are likely to be modulated by inhibitors and inducers of CYP3A and P-gp and may be modulated by inhibitors of OATP1B1 and MRP2. (Fachinformation zu Maraviroc, Arzneimittelwechselwirkungen)

  • MexiletinAntiarrhythmikumGeringfügig

    (E) In vitro studies of CYP enzymes, UGTA enzymes and OATP1B1 transporter In vitro studies have shown that gemfibrozil is an inhibitor of CYP1A2, CYP2C8, CYP2C9, CYP2C19, OATP1B1, and UDP-glucuronosyltransferase (UGT) 1A1 and 1A3 (see WARNINGS ). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • TeriflunomidImmunsuppressivumGeringfügig

    Effect of AUBAGIO on CYP2C8 Substrates Teriflunomide is an inhibitor of CYP2C8 in vivo . (Fachinformation zu Teriflunomid, Arzneimittelwechselwirkungen)

  • ViloxazinNoradrenalin-WiederaufnahmehemmerGeringfügig

    (E) In vitro studies of CYP enzymes, UGTA enzymes and OATP1B1 transporter In vitro studies have shown that gemfibrozil is an inhibitor of CYP1A2, CYP2C8, CYP2C9, CYP2C19, OATP1B1, and UDP-glucuronosyltransferase (UGT) 1A1 and 1A3 (see WARNINGS ). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

  • ZileutonCYP1A2-HemmerGeringfügig

    (E) In vitro studies of CYP enzymes, UGTA enzymes and OATP1B1 transporter In vitro studies have shown that gemfibrozil is an inhibitor of CYP1A2, CYP2C8, CYP2C9, CYP2C19, OATP1B1, and UDP-glucuronosyltransferase (UGT) 1A1 and 1A3 (see WARNINGS ). (Fachinformation zu Gemfibrozil, Arzneimittelwechselwirkungen)

Keine relevante Wechselwirkung berichtet (1)

  • Sofosbuvir und VelpatasvirVirostatikumKeine Wechselwirkung

    …drug interactions have been observed with the following drugs [see Clinical Pharmacology (12.3) ]: VOSEVI: cobicistat, darunavir, elvitegravir, emtricitabine, ethinyl estradiol/norgestimate, gemfibrozil, rilpivirine, ritonavir, tenofovir alafenamide, voriconazole Sofosbuvir/velpatasvir: dolutegravir, ketoconazole, raltegravir Sofosbuvir: methadone, tacrolimus (Fachinformation zu Sofosbuvir und Velpatasvir, Arzneimittelwechselwirkungen)

Prüfen Sie Gemfibrozil gegen alles, was Sie einnehmen. Fügen Sie Ihre gesamte Liste hinzu; alle Paare werden auf einmal geprüft.

Im Wechselwirkungscheck öffnen

Keine medizinische Beratung. Der Schweregrad gibt die Formulierung der Fachinformation wieder, nicht Ihre persönlichen Umstände. Eine als „schwerwiegend“ eingestufte Wechselwirkung kann unter Aufsicht Routine sein, und eine „geringfügige“ kann bei hohen Dosen von Bedeutung sein. Fragen Sie in einer Apotheke nach.