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Interactions médicamenteuses

Azithromycin + Cisapride

Gravité: Contre-indiquée

Azithromycin and Cisapride: contraindicated interaction.

Dernière mise à jour

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Résumé

Both drugs can prolong the QT interval, and combined use increases the risk of torsades de pointes and sudden cardiac death. Cisapride labeling lists QT-prolonging drugs as contraindicated partners.

Ce que signifie cette interaction, en termes simples

Azithromycin and Cisapride 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.

Azithromycin belongs to Anti Bacterial; Cisapride belongs to Gastrointestinal Tract.

Niveau de preuve: Moderate

Pourquoi elle survient

Additive QT prolongation through cardiac potassium channel blockade.

Conduite à tenir

Do not co-administer; choose a non-QT-prolonging antibiotic or stop cisapride. Correct electrolytes and obtain an ECG if exposure has occurred.

Questions à poser à votre pharmacien

  • 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.

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Questions fréquentes

Can I take Azithromycin with Cisapride?

MediHelp rates the interaction as contraindicated. Azithromycin and Cisapride 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. Both drugs can prolong the QT interval, and combined use increases the risk of torsades de pointes and sudden cardiac death. Cisapride labeling lists QT-prolonging drugs as contraindicated partners.

How serious is the interaction between Azithromycin and Cisapride?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not co-administer; choose a non-QT-prolonging antibiotic or stop cisapride. Correct electrolytes and obtain an ECG if exposure has occurred.

What other medicines interact with Cisapride?

MediHelp also lists interactions of Cisapride with, for example, Apomorphine, Artemether, Ceritinib. The full list is on the Cisapride 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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