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Interactions médicamenteuses

Ibutilide + Maprotiline

Gravité: Contre-indiquée

Ibutilide and Maprotiline: contraindicated interaction.

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Résumé

Ibutilide markedly prolongs repolarisation and carries a significant risk of torsades de pointes. Adding maprotiline, which also lengthens the QT interval, further increases the likelihood of life-threatening ventricular arrhythmia.

Ce que signifie cette interaction, en termes simples

Ibutilide and Maprotiline 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.

Ibutilide belongs to Cardiovascular; Maprotiline belongs to Central Nervous System.

Niveau de preuve: Moderate

Pourquoi elle survient

Additive pharmacodynamic prolongation of the QT interval.

Conduite à tenir

Do not give ibutilide to patients taking maprotiline; consider an alternative cardioversion strategy such as electrical cardioversion. Review the need for maprotiline if rhythm control with QT-prolonging agents is planned.

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 Ibutilide with Maprotiline?

MediHelp rates the interaction as contraindicated. Ibutilide and Maprotiline 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. Ibutilide markedly prolongs repolarisation and carries a significant risk of torsades de pointes. Adding maprotiline, which also lengthens the QT interval, further increases the likelihood of life-threatening ventricular arrhythmia.

How serious is the interaction between Ibutilide and Maprotiline?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not give ibutilide to patients taking maprotiline; consider an alternative cardioversion strategy such as electrical cardioversion. Review the need for maprotiline if rhythm control with QT-prolonging agents is planned.

What other medicines interact with Maprotiline?

MediHelp also lists interactions of Maprotiline with, for example, Arsenic trioxide, Disopyramide, Dofetilide. The full list is on the Maprotiline page.

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