Interactions médicamenteuses
Amitriptyline + Umeclidinium-vilanterol
Gravité: Majeure
Amitriptyline and Umeclidinium-vilanterol: major interaction.
Dernière mise à jour Sources: US FDA label
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Résumé
Amitriptyline can potentiate the cardiovascular effects of vilanterol and prolongs the QT interval. It also has anticholinergic effects that add to those of umeclidinium, such as dry mouth, urinary retention and tachycardia.
Ce que signifie cette interaction, en termes simples
Amitriptyline and Umeclidinium-vilanterol 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.
Amitriptyline belongs to Central Nervous System; Umeclidinium-vilanterol belongs to Respiratory.
Pourquoi elle survient
Additive adrenergic stimulation, QT prolongation and anticholinergic effects.
Conduite à tenir
Use only with monitoring of ECG, heart rate and blood pressure, and watch for anticholinergic effects. Consider a non-tricyclic antidepressant when feasible.
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?
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Références
Autres interactions de Umeclidinium-vilanterol
Autres interactions de Amitriptyline
- Amitriptyline + Isocarboxazid Contre-indiquée
- Amitriptyline + Methylene blue Contre-indiquée
- Amitriptyline + Phenelzine Contre-indiquée
- Amitriptyline + Pimozide Contre-indiquée
- Amitriptyline + Procarbazine Contre-indiquée
- Amitriptyline + Safinamide Contre-indiquée
Questions fréquentes
Can I take Amitriptyline with Umeclidinium-vilanterol?
MediHelp rates the interaction as major. Amitriptyline and Umeclidinium-vilanterol 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. Amitriptyline can potentiate the cardiovascular effects of vilanterol and prolongs the QT interval. It also has anticholinergic effects that add to those of umeclidinium, such as dry mouth, urinary retention and tachycardia.
How serious is the interaction between Amitriptyline and Umeclidinium-vilanterol?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use only with monitoring of ECG, heart rate and blood pressure, and watch for anticholinergic effects. Consider a non-tricyclic antidepressant when feasible.
What other medicines interact with Umeclidinium-vilanterol?
MediHelp also lists interactions of Umeclidinium-vilanterol with, for example, Aclidinium, Amiodarone, Amoxapine. The full list is on the Umeclidinium-vilanterol page.
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