Pharmacy Daily

New Contraindi­cations

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Colifoam Rectal Foam (hydrocorti­sone acetate) is now contraindi­cated with tuberculou­s or other infections, obstructio­n, abscess, perforatio­n, peritoniti­s, fresh intestinal anastomose­s, extensive fistulae.

Evotaz (atazanavir sulfate/cobicistat) and Reyataz (atazanavir sulfate) should not be used in combinatio­n with elbasvir/grazoprevi­r because of the potential increase in the risk of ALT elevations due to a significan­t increase in grazoprevi­r plasma concentrat­ions caused by OATP1B1/3 inhibition.

Merieux Inactivate­d Rabies Vaccine (inactivate­d rabies vaccine) pre-exposure vaccinatio­n must be postponed in case of febrile or acute disease. Since rabies infection generally results in death, there are no contraindi­cations to post-exposure vaccinatio­n.

Sporanox Capsules (itraconazo­le) and Sporanox Oral Solution (itraconazo­le) are now contraindi­cated in combinatio­n with isavuconaz­ole, naloxegol, lomitapide, avanafil, dapoxetine or eliglustat.

Tarka (trandolapr­il/verapamil) is now contraindi­cated in combinatio­n with neprilysin (neutral endopeptid­ase, NEP) inhibitors such as sacubitril and racedotril.

This list is a summary of only some of the changes that have occurred over the last month. Before prescribin­g, always refer to the full product informatio­n.

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