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Dihydroergotamine + Erythromycin lactobionate

شدت: منع مصرف

Dihydroergotamine and Erythromycin lactobionate: contraindicated interaction.

آخرین به‌روزرسانی

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خلاصه

Erythromycin raises dihydroergotamine concentrations, which can cause ergotism with severe peripheral and cerebral vasospasm and ischemia. Cases of limb and organ ischemia have been reported with CYP3A4 inhibitors and ergots.

معنای این تداخل به زبان ساده

Dihydroergotamine and Erythromycin lactobionate are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Dihydroergotamine belongs to Central Nervous System; Erythromycin lactobionate belongs to Anti Bacterial.

سطح شواهد: High

چرا رخ می‌دهد

Erythromycin inhibits CYP3A4-mediated metabolism of dihydroergotamine.

اقدام لازم

Do not use together; choose a non-macrolide antibiotic such as one without CYP3A4 inhibition, or another migraine therapy.

از داروساز چه بپرسید

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

ویژه اعضای Pro+

باز کردن کل صفحه

یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیه‌های کامل مدیریت Dihydroergotamine و Erythromycin lactobionate، 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.

پرسش‌های متداول

Can I take Dihydroergotamine with Erythromycin lactobionate?

MediHelp rates the interaction as contraindicated. Dihydroergotamine and Erythromycin lactobionate are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Erythromycin raises dihydroergotamine concentrations, which can cause ergotism with severe peripheral and cerebral vasospasm and ischemia. Cases of limb and organ ischemia have been reported with CYP3A4 inhibitors and ergots.

How serious is the interaction between Dihydroergotamine and Erythromycin lactobionate?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use together; choose a non-macrolide antibiotic such as one without CYP3A4 inhibition, or another migraine therapy.

What other medicines interact with Erythromycin lactobionate?

MediHelp also lists interactions of Erythromycin lactobionate with, for example, Cisapride, Dronedarone, Eletriptan. The full list is on the Erythromycin lactobionate page.

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