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Interactions médicamenteuses

Amphotericin b deoxycholate + Digoxin

Gravité: Majeure

Amphotericin b deoxycholate and Digoxin: major interaction.

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Résumé

Amphotericin B commonly causes hypokalemia and hypomagnesemia, which sensitize the myocardium to digoxin. This increases the risk of digoxin toxicity and arrhythmias even at normal serum levels.

Ce que signifie cette interaction, en termes simples

Amphotericin b deoxycholate and Digoxin 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.

Niveau de preuve: Moderate

Pourquoi elle survient

Amphotericin-induced renal potassium and magnesium wasting produces additive pharmacodynamic enhancement of digoxin toxicity.

Conduite à tenir

Monitor and correct serum potassium and magnesium regularly. Check digoxin levels and ECG, and consider a digoxin dose reduction if electrolyte disturbances persist.

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.

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Questions fréquentes

Can I take Amphotericin b deoxycholate with Digoxin?

MediHelp rates the interaction as major. Amphotericin b deoxycholate and Digoxin 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. Amphotericin B commonly causes hypokalemia and hypomagnesemia, which sensitize the myocardium to digoxin. This increases the risk of digoxin toxicity and arrhythmias even at normal serum levels.

How serious is the interaction between Amphotericin b deoxycholate and Digoxin?

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 and correct serum potassium and magnesium regularly. Check digoxin levels and ECG, and consider a digoxin dose reduction if electrolyte disturbances persist.

What other medicines interact with Digoxin?

MediHelp also lists interactions of Digoxin with, for example, Lily of the valley, Squill, Adagrasib. The full list is on the Digoxin 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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