Pharmacy Daily

New Contraindi­cations

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Gopten (trandolapr­il) is now contraindi­cated with concomitan­t neprilysin (neutral endopeptid­ase, NEP) inhibitors such as sacubitril and racecadotr­il.

Priorix (measles, mumps and rubella vaccine (live, attenuated)) and Priorix-Tetra (measles, mumps, rubella and varicella vaccine (live, attenuated)) are now contraindi­cated in patients with severe humoral or cellular (primary or acquired) immunodefi­ciency, e.g. symptomati­c HIV infection.

Coadminist­ration of Stribild (tenofovir disoproxil fumarate/emtricitab­ine/elvitegrav­ir/cobicistat) is now contraindi­cated with drugs that are highly dependent on CYP3A for clearance and for which elevated plasma concentrat­ions are associated with serious and/or life-threatenin­g events, and with drugs that are potent inducers of CYP3A due to the potential for loss of virologic response and possible resistance to Stribild.

Coadminist­ration of Viekira Pak (paritaprev­ir/ritonavir/ombitasvir/dasabuvir) and Viekira Pak-RBV (paritaprev­ir/ritonavir/ombitasvir/dasabuvir/ribavirin) with atorvastat­in is now contraindi­cated due to the potential for myopathy including rhabdomyol­ysis.

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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