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Interactions médicamenteuses

Charcoal + Digoxin

Gravité: Modérée

Charcoal and Digoxin: moderate interaction.

Dernière mise à jour

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Résumé

Activated charcoal adsorbs oral digoxin and interrupts its enterohepatic recirculation, lowering serum levels. This is helpful in digoxin toxicity but can reduce efficacy if given at therapeutic doses.

Ce que signifie cette interaction, en termes simples

Charcoal and Digoxin 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.

Charcoal belongs to Gastrointestinal Tract; Digoxin belongs to Cardiovascular.

Niveau de preuve: High

Pourquoi elle survient

Charcoal binds digoxin in the gut, decreasing absorption and enterohepatic recycling.

Conduite à tenir

Avoid charcoal in routine therapy or separate it from digoxin by several hours. In digoxin poisoning, charcoal is appropriate along with digoxin-specific antibody fragments and monitoring of levels and potassium.

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 Charcoal with Digoxin?

MediHelp rates the interaction as moderate. Charcoal and Digoxin 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. Activated charcoal adsorbs oral digoxin and interrupts its enterohepatic recirculation, lowering serum levels. This is helpful in digoxin toxicity but can reduce efficacy if given at therapeutic doses.

How serious is the interaction between Charcoal and Digoxin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid charcoal in routine therapy or separate it from digoxin by several hours. In digoxin poisoning, charcoal is appropriate along with digoxin-specific antibody fragments and monitoring of levels and potassium.

What other medicines interact with Charcoal?

MediHelp also lists interactions of Charcoal with, for example, Citalopram, Leflunomide, Methotrexate. The full list is on the Charcoal page.

Monographies complètes, posologies et vérificateur d'interactions dans l'application MediHelp

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

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