تداخلهای دارویی
Benzhydrocodone / acetaminophen + Chloramphenicol
شدت: شدید
Benzhydrocodone / acetaminophen and Chloramphenicol: major interaction.
آخرین بهروزرسانی
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خلاصه
Benzhydrocodone is a prodrug of hydrocodone, which is metabolized by CYP3A4. Chloramphenicol may inhibit this pathway, raising hydrocodone levels and risking sedation and potentially fatal respiratory depression.
معنای این تداخل به زبان ساده
Benzhydrocodone / acetaminophen and Chloramphenicol 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.
چرا رخ میدهد
Inhibition of CYP3A4-mediated metabolism of hydrocodone, increasing its plasma concentrations.
اقدام لازم
Avoid if possible or use a lower opioid dose and monitor closely for sedation and respiratory depression. Reassess the dose if chloramphenicol is stopped, since opioid levels will fall.
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 Benzhydrocodone / acetaminophen و Chloramphenicol، 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 Chloramphenicol
پرسشهای متداول
Can I take Benzhydrocodone / acetaminophen with Chloramphenicol?
MediHelp rates the interaction as major. Benzhydrocodone / acetaminophen and Chloramphenicol 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. Benzhydrocodone is a prodrug of hydrocodone, which is metabolized by CYP3A4. Chloramphenicol may inhibit this pathway, raising hydrocodone levels and risking sedation and potentially fatal respiratory depression.
How serious is the interaction between Benzhydrocodone / acetaminophen and Chloramphenicol?
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 if possible or use a lower opioid dose and monitor closely for sedation and respiratory depression. Reassess the dose if chloramphenicol is stopped, since opioid levels will fall.
What other medicines interact with Chloramphenicol?
MediHelp also lists interactions of Chloramphenicol with, for example, Adagrasib, Avapritinib, Bcg vaccine live. The full list is on the Chloramphenicol page.
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