Interactions médicamenteuses
Dexamethasone + Glycerol phenylbutyrate
Gravité: Majeure
Dexamethasone and Glycerol phenylbutyrate: major interaction.
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Résumé
Corticosteroids promote protein catabolism and can raise ammonia, working against the ammonia-lowering aim of glycerol phenylbutyrate in urea cycle disorders. This can precipitate hyperammonemia.
Ce que signifie cette interaction, en termes simples
Dexamethasone and Glycerol phenylbutyrate 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.
Dexamethasone belongs to Endocrine; Glycerol phenylbutyrate belongs to Miscellaneous.
Pourquoi elle survient
Glucocorticoid-induced protein breakdown increases nitrogen load and plasma ammonia, opposing the nitrogen scavenging action.
Conduite à tenir
Monitor plasma ammonia closely and adjust the glycerol phenylbutyrate dose or protein intake if ammonia rises; avoid unnecessary steroid use.
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?
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Autres interactions de Dexamethasone
- Bcg vaccine live + Dexamethasone Contre-indiquée
- Dexamethasone + Mifepristone Contre-indiquée
- Dexamethasone + Rilpivirine Contre-indiquée
- Dexamethasone + Smallpox vaccine live Contre-indiquée
- Dexamethasone + Varicella virus vaccine live Contre-indiquée
- Dexamethasone + Yellow fever vaccine Contre-indiquée
Autres interactions de Glycerol phenylbutyrate
- Glycerol phenylbutyrate + Sodium valproate Majeure
- Glycerol phenylbutyrate + Valproic acid Majeure
- Cyclosporin + Glycerol phenylbutyrate Modérée
- Dexamethasone-neomycin-polymyxin + Glycerol phenylbutyrate Modérée
- Dexamethasone-tobramycin + Glycerol phenylbutyrate Modérée
- Fludrocortisone + Glycerol phenylbutyrate Modérée
Questions fréquentes
Can I take Dexamethasone with Glycerol phenylbutyrate?
MediHelp rates the interaction as major. Dexamethasone and Glycerol phenylbutyrate 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. Corticosteroids promote protein catabolism and can raise ammonia, working against the ammonia-lowering aim of glycerol phenylbutyrate in urea cycle disorders. This can precipitate hyperammonemia.
How serious is the interaction between Dexamethasone and Glycerol phenylbutyrate?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor plasma ammonia closely and adjust the glycerol phenylbutyrate dose or protein intake if ammonia rises; avoid unnecessary steroid use.
What other medicines interact with Dexamethasone?
MediHelp also lists interactions of Dexamethasone with, for example, Bcg vaccine live, Mifepristone, Rilpivirine. The full list is on the Dexamethasone 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.