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Interactions médicamenteuses

Belladonna and opium + Diazepam

Gravité: Majeure

Belladonna and opium and Diazepam: major interaction.

Dernière mise à jour Sources: US FDA label

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Résumé

Belladonna and opium suppositories contain an opioid, so combination with diazepam increases the risk of profound sedation, respiratory depression, coma and death. Opioid labeling carries a boxed warning for concomitant benzodiazepine use.

Ce que signifie cette interaction, en termes simples

Belladonna and opium and Diazepam 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: High

Pourquoi elle survient

Additive CNS and respiratory depression via opioid and GABA-A receptor activity.

Conduite à tenir

Avoid combining where possible, or use the lowest doses for the shortest time with close monitoring of sedation and breathing. Counsel patients and caregivers about warning signs.

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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Références

Questions fréquentes

Can I take Belladonna and opium with Diazepam?

MediHelp rates the interaction as major. Belladonna and opium and Diazepam 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. Belladonna and opium suppositories contain an opioid, so combination with diazepam increases the risk of profound sedation, respiratory depression, coma and death. Opioid labeling carries a boxed warning for concomitant benzodiazepine use.

How serious is the interaction between Belladonna and opium and Diazepam?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combining where possible, or use the lowest doses for the shortest time with close monitoring of sedation and breathing. Counsel patients and caregivers about warning signs.

What other medicines interact with Diazepam?

MediHelp also lists interactions of Diazepam with, for example, Calcium / magnesium / potassium / sodium oxybates, Alfentanil, Alprazolam. The full list is on the Diazepam page.

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