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تداخل‌های دارویی

Pefloxacin + Tizanidine

شدت: منع مصرف

Pefloxacin and Tizanidine: contraindicated interaction.

آخرین به‌روزرسانی

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محتوای بالینی این صفحه فقط به زبان انگلیسی موجود است.

خلاصه

Pefloxacin inhibits CYP1A2, the main enzyme clearing tizanidine, so tizanidine levels can rise markedly. This can cause severe hypotension, bradycardia and profound sedation, as seen with the related drug ciprofloxacin.

معنای این تداخل به زبان ساده

Pefloxacin and Tizanidine 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.

Pefloxacin belongs to Anti Bacterial; Tizanidine belongs to Musculoskeletal.

سطح شواهد: Moderate

چرا رخ می‌دهد

Inhibition of CYP1A2 by pefloxacin reduces tizanidine clearance.

اقدام لازم

Avoid the combination and use an antibiotic that does not inhibit CYP1A2. If it cannot be avoided, use a much lower tizanidine dose and monitor blood pressure and heart rate closely.

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 Pefloxacin و Tizanidine، 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 Pefloxacin with Tizanidine?

MediHelp rates the interaction as contraindicated. Pefloxacin and Tizanidine 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. Pefloxacin inhibits CYP1A2, the main enzyme clearing tizanidine, so tizanidine levels can rise markedly. This can cause severe hypotension, bradycardia and profound sedation, as seen with the related drug ciprofloxacin.

How serious is the interaction between Pefloxacin and Tizanidine?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination and use an antibiotic that does not inhibit CYP1A2. If it cannot be avoided, use a much lower tizanidine dose and monitor blood pressure and heart rate closely.

What other medicines interact with Tizanidine?

MediHelp also lists interactions of Tizanidine with, for example, Ciprofloxacin, Fluvoxamine, Pipemidic acid. The full list is on the Tizanidine page.

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