Interactions médicamenteuses
Mosapride + Prucalopride
Gravité: Modérée
Mosapride and Prucalopride: moderate interaction.
Dernière mise à jour Sources: US FDA label
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Résumé
Both drugs are 5-HT4 receptor agonists, so using them together duplicates therapy and may increase diarrhea, abdominal cramps, nausea, and headache. This could cause dehydration and electrolyte loss, especially in older or renally impaired patients. There is no good evidence that the combination improves efficacy.
Ce que signifie cette interaction, en termes simples
Mosapride and Prucalopride 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.
Mosapride belongs to Gastrointestinal Tract; Prucalopride belongs to Gastrointestinal Tract.
Pourquoi elle survient
Pharmacodynamic: additive 5-HT4 receptor agonism enhances acetylcholine release in the enteric nervous system and accelerates gastrointestinal transit. No important pharmacokinetic interaction is expected.
Conduite à tenir
Avoid using both and choose a single prokinetic. If switching, stop one agent before starting the other.
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?
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Références
- Motegrity (prucalopride) Prescribing Information — FDA Label
- Resolor (prucalopride) Summary of Product Characteristics — EMA SmPC
Autres interactions de Mosapride
- Linaclotide + Mosapride Modérée
- Lubiprostone + Mosapride Modérée
Questions fréquentes
Can I take Mosapride with Prucalopride?
MediHelp rates the interaction as moderate. Mosapride and Prucalopride 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. Both drugs are 5-HT4 receptor agonists, so using them together duplicates therapy and may increase diarrhea, abdominal cramps, nausea, and headache. This could cause dehydration and electrolyte loss, especially in older or renally impaired patients. There is no good evidence that the combination improves efficacy.
How serious is the interaction between Mosapride and Prucalopride?
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 using both and choose a single prokinetic. If switching, stop one agent before starting the other.
What other medicines interact with Mosapride?
MediHelp also lists interactions of Mosapride with, for example, Linaclotide, Lubiprostone. The full list is on the Mosapride page.
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