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Interactions médicamenteuses

Amiodarone + Tinidazole

Gravité: Modérée

Amiodarone and Tinidazole: moderate interaction.

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Résumé

Tinidazole is partly metabolized by CYP3A4, and amiodarone is only a weak to moderate CYP3A4 inhibitor, so a significant rise in tinidazole is unlikely. The more relevant concern is that both drugs may prolong the QT interval, with a risk of torsades de pointes.

Ce que signifie cette interaction, en termes simples

Amiodarone and Tinidazole can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amiodarone belongs to Cardiovascular; Tinidazole belongs to Anti Parasitic.

Niveau de preuve: Low

Pourquoi elle survient

Additive QT prolongation, with a minor possible pharmacokinetic effect through CYP3A4 inhibition by amiodarone.

Conduite à tenir

Obtain a baseline ECG, keep potassium and magnesium normal, and monitor QTc during co-administration. Consider an alternative antimicrobial if the QTc becomes prolonged.

Questions à poser à votre pharmacien

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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

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Questions fréquentes

Can I take Amiodarone with Tinidazole?

MediHelp rates the interaction as moderate. Amiodarone and Tinidazole can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Tinidazole is partly metabolized by CYP3A4, and amiodarone is only a weak to moderate CYP3A4 inhibitor, so a significant rise in tinidazole is unlikely. The more relevant concern is that both drugs may prolong the QT interval, with a risk of torsades de pointes.

How serious is the interaction between Amiodarone and Tinidazole?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG, keep potassium and magnesium normal, and monitor QTc during co-administration. Consider an alternative antimicrobial if the QTc becomes prolonged.

What other medicines interact with Tinidazole?

MediHelp also lists interactions of Tinidazole with, for example, Disulfiram, Ethanol, Fexinidazole. The full list is on the Tinidazole page.

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

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