Aller au contenu
MediHelp
MediHelp Référence médicamenteuse

Interactions médicamenteuses

Amiodarone + Propranolol

Gravité: Majeure

Amiodarone and Propranolol: major interaction.

Dernière mise à jour Sources: US FDA label

Réservé aux professionnels de santé — à titre de référence uniquement. Cette page est un bref résumé, pas un avis médical, et ne remplace ni la notice officielle ni le jugement clinique. Vérifiez toujours avant de prescrire ou de délivrer.

Le contenu clinique de cette page n'est disponible qu'en anglais.

Résumé

Together these drugs can cause additive bradycardia, sinus arrest and AV block, and amiodarone may also raise propranolol levels. Patients with sinus node dysfunction or conduction disease are at highest risk.

Ce que signifie cette interaction, en termes simples

Amiodarone and Propranolol 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.

Amiodarone belongs to Cardiovascular; Propranolol belongs to Cardiovascular.

Niveau de preuve: High

Pourquoi elle survient

Additive negative chronotropic and dromotropic effects, plus amiodarone inhibition of CYP2D6-mediated propranolol metabolism.

Conduite à tenir

Monitor ECG and heart rate closely, especially at initiation, and reduce the propranolol dose as needed. Avoid in patients with sick sinus syndrome or AV block unless a pacemaker is in place.

Questions à poser à votre pharmacien

  • 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?

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

Réservé aux membres Pro+

Débloquer la page complète

Créez un compte et lancez un essai Pro+ pour débloquer les conseils complets de prise en charge pour Amiodarone et Propranolol, les notes complémentaires, le détail des données probantes et le vérificateur d'interactions pour une ordonnance complète.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription
Créer un compte gratuit Se connecter

Essayez Pro+ gratuitement pendant 7 jours sur le web. Sans carte.

Références

Questions fréquentes

Can I take Amiodarone with Propranolol?

MediHelp rates the interaction as major. Amiodarone and Propranolol 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. Together these drugs can cause additive bradycardia, sinus arrest and AV block, and amiodarone may also raise propranolol levels. Patients with sinus node dysfunction or conduction disease are at highest risk.

How serious is the interaction between Amiodarone and Propranolol?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor ECG and heart rate closely, especially at initiation, and reduce the propranolol dose as needed. Avoid in patients with sick sinus syndrome or AV block unless a pacemaker is in place.

What other medicines interact with Propranolol?

MediHelp also lists interactions of Propranolol with, for example, Thioridazine, Acebutolol, Adrenaline-articaine. The full list is on the Propranolol page.

Monographies complètes, posologies et vérificateur d'interactions dans l'application MediHelp

Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.

Télécharger surApp Store Disponible surGoogle Play

Parcourir de A à Z · Interactions médicamenteuses

Télécharger l'app Se connecter