Acute kidney injury from excessive potentiation of calcium-channel blocker via synergistic CYP3A4 inhibition by clarithromycin plus voriconazole

Eikan Mishima, Kazuichi Maruyama, Toru Nakazawa, Takaaki Abe, Sadayoshi Ito

研究成果: Article査読

3 被引用数 (Scopus)

抄録

CYP3A4-inhibitors can potentiate the hypotensive effect of calcium-channel blockers. However, insufficient attention to such drug interactions may result in serious adverse reactions. A 71-year-old hypertensive man prescribed nifedipine was hospitalized for infectious endophthalmitis. Antimicrobial therapy with voriconazole lowered the blood pressure, and then clarithromycin further lowered it through the excessively elevated nifedipine concentration, leading to ischemic acute kidney injury. After the discontinuation of clarithromycin and voriconazole, the blood pressure and renal function were recovered. The combination of CYP3A4-inhibitors such as clarithromycin plus voriconazole can synergistically potentiate calcium-channel blockers. Co-prescription of multiple CYP3A4-inhibitors with calcium-channel blockers increases the risk of hypotension and acute kidney injury.

本文言語English
ページ(範囲)1687-1690
ページ数4
ジャーナルInternal Medicine
56
13
DOI
出版ステータスPublished - 2017

ASJC Scopus subject areas

  • Internal Medicine

フィンガープリント 「Acute kidney injury from excessive potentiation of calcium-channel blocker via synergistic CYP3A4 inhibition by clarithromycin plus voriconazole」の研究トピックを掘り下げます。これらがまとまってユニークなフィンガープリントを構成します。

引用スタイル