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Interactions médicamenteuses

Cisapride + Citalopram

Gravité: Contre-indiquée

Cisapride and Citalopram: contraindicated interaction.

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Résumé

Citalopram causes dose-related QT prolongation and cisapride has a well-known risk of ventricular arrhythmia. Together they increase the chance of torsades de pointes.

Ce que signifie cette interaction, en termes simples

Cisapride and Citalopram 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.

Cisapride belongs to Gastrointestinal Tract; Citalopram belongs to Central Nervous System.

Niveau de preuve: Moderate

Pourquoi elle survient

Additive prolongation of ventricular repolarization through hERG potassium channel inhibition.

Conduite à tenir

Avoid concurrent use and choose an alternative to cisapride or a less QT-active antidepressant such as sertraline. If unavoidable, monitor the ECG and keep potassium and magnesium normal.

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 Cisapride with Citalopram?

MediHelp rates the interaction as contraindicated. Cisapride and Citalopram 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. Citalopram causes dose-related QT prolongation and cisapride has a well-known risk of ventricular arrhythmia. Together they increase the chance of torsades de pointes.

How serious is the interaction between Cisapride and Citalopram?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use and choose an alternative to cisapride or a less QT-active antidepressant such as sertraline. If unavoidable, monitor the ECG and keep potassium and magnesium normal.

What other medicines interact with Cisapride?

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