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Interactions médicamenteuses

Clemastine + Dextromoramide

Gravité: Majeure

Clemastine and Dextromoramide: major interaction.

Dernière mise à jour

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Résumé

Dextromoramide is a potent opioid, and a sedating antihistamine can substantially add to sedation and psychomotor impairment. Respiratory depression is a risk, especially at higher opioid doses.

Ce que signifie cette interaction, en termes simples

Clemastine and Dextromoramide 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

Additive CNS and respiratory depression from the opioid agonist and the sedating H1 antihistamine.

Conduite à tenir

Use the lowest effective doses and monitor for sedation and respiratory depression. Prefer a non-sedating antihistamine and advise avoiding alcohol and driving.

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 Clemastine with Dextromoramide?

MediHelp rates the interaction as major. Clemastine and Dextromoramide 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. Dextromoramide is a potent opioid, and a sedating antihistamine can substantially add to sedation and psychomotor impairment. Respiratory depression is a risk, especially at higher opioid doses.

How serious is the interaction between Clemastine and Dextromoramide?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective doses and monitor for sedation and respiratory depression. Prefer a non-sedating antihistamine and advise avoiding alcohol and driving.

What other medicines interact with Clemastine?

MediHelp also lists interactions of Clemastine with, for example, Alfentanil, Benzhydrocodone / acetaminophen, Buprenorphine buccal. The full list is on the Clemastine 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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