تداخل‌های دارویی
Amitriptyline + Diphenoxylate-atropine
شدت: شدید
Amitriptyline and Diphenoxylate-atropine: major interaction.
آخرین به‌روزرسانی
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خلاصه
Amitriptyline is strongly anticholinergic and sedating, and the atropine and diphenoxylate components add to this. The combination can cause constipation progressing to ileus, urinary retention, tachycardia, confusion and excess sedation.
معنای این تداخل به زبان ساده
Amitriptyline and Diphenoxylate-atropine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Amitriptyline belongs to Central Nervous System; Diphenoxylate-atropine belongs to Gastrointestinal Tract.
چرا رخ می‌دهد
Additive muscarinic blockade and additive CNS depression.
اقدام لازم
Avoid combining where possible, especially in older patients or those with ileus or urinary retention; if used, monitor bowel and bladder function and mental status.
از داروساز چه بپرسید
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
ویژه اعضای Pro+
باز کردن کل صفحه
یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیه‌های کامل مدیریت Amitriptyline و Diphenoxylate-atropine، یادداشت‌های تکمیلی، جزئیات شواهد و بررسی‌کننده تداخل برای کل نسخه را باز کنید.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Pro+ را ۱۴ روز رایگان در وب امتحان کنید. بدون نیاز به کارت.
تداخلات دیگر Diphenoxylate-atropine
تداخلات دیگر Amitriptyline
- Amitriptyline + Isocarboxazid منع مصرف
- Amitriptyline + Methylene blue منع مصرف
- Amitriptyline + Phenelzine منع مصرف
- Amitriptyline + Pimozide منع مصرف
- Amitriptyline + Procarbazine منع مصرف
- Amitriptyline + Safinamide منع مصرف
پرسش‌های متداول
Can I take Amitriptyline with Diphenoxylate-atropine?
MediHelp rates the interaction as major. Amitriptyline and Diphenoxylate-atropine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Amitriptyline is strongly anticholinergic and sedating, and the atropine and diphenoxylate components add to this. The combination can cause constipation progressing to ileus, urinary retention, tachycardia, confusion and excess sedation.
How serious is the interaction between Amitriptyline and Diphenoxylate-atropine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combining where possible, especially in older patients or those with ileus or urinary retention; if used, monitor bowel and bladder function and mental status.
What other medicines interact with Diphenoxylate-atropine?
MediHelp also lists interactions of Diphenoxylate-atropine with, for example, Isocarboxazid, Phenelzine, Tranylcypromine. The full list is on the Diphenoxylate-atropine page.
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مرجع کامل را باز کنید، تداخل چند دارو را بررسی کنید و از ابزارهای دوز در برنامه MediHelp استفاده کنید.
