दवाओं की अंतःक्रिया
Metoclopramide + Rivastigmine
गंभीरता: गंभीर
Metoclopramide and Rivastigmine: major interaction.
अंतिम अपडेट
केवल स्वास्थ्य पेशेवरों के लिए — मात्र संदर्भ हेतु। यह पृष्ठ संक्षिप्त सारांश है, चिकित्सकीय सलाह नहीं है और आधिकारिक लेबल या नैदानिक निर्णय का विकल्प नहीं है। दवा लिखने या देने से पहले हमेशा जाँच करें।
इस पृष्ठ की नैदानिक सामग्री केवल अंग्रेज़ी में उपलब्ध है।
सारांश
Rivastigmine, a cholinesterase inhibitor, may increase the risk of extrapyramidal symptoms when given with metoclopramide. Cholinesterase inhibitors can also worsen parkinsonism, and metoclopramide's dopamine blockade adds to this. Neuroleptic malignant syndrome is a rare concern.
इस इंटरैक्शन का सरल भाषा में अर्थ
Metoclopramide and Rivastigmine 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.
Metoclopramide belongs to Gastrointestinal Tract; Rivastigmine belongs to Central Nervous System.
ऐसा क्यों होता है
Metoclopramide blocks central D2 receptors while rivastigmine increases cholinergic tone, and the two together promote extrapyramidal effects; cholinergic effects on gut motility may also be additive.
क्या करें
Avoid the combination where possible, especially in patients with Parkinson disease or dementia. If needed, use the lowest metoclopramide dose briefly and monitor for tremor, rigidity and dystonia.
फार्मासिस्ट से क्या पूछें
- 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?
Pro+ सदस्यों के लिए
पूरा पेज खोलें
Metoclopramide और Rivastigmine की पूरी प्रबंधन सलाह, अतिरिक्त नोट्स, साक्ष्य का विवरण और पूरे पर्चे का इंटरैक्शन चेकर खोलने के लिए खाता बनाएँ और Pro+ ट्रायल शुरू करें।
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
वेब पर Pro+ को 14 दिन मुफ़्त आज़माएँ। कार्ड की ज़रूरत नहीं।
Metoclopramide के अन्य इंटरैक्शन
Rivastigmine के अन्य इंटरैक्शन
अक्सर पूछे जाने वाले प्रश्न
Can I take Metoclopramide with Rivastigmine?
MediHelp rates the interaction as major. Metoclopramide and Rivastigmine 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. Rivastigmine, a cholinesterase inhibitor, may increase the risk of extrapyramidal symptoms when given with metoclopramide. Cholinesterase inhibitors can also worsen parkinsonism, and metoclopramide's dopamine blockade adds to this. Neuroleptic malignant syndrome is a rare concern.
How serious is the interaction between Metoclopramide and Rivastigmine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible, especially in patients with Parkinson disease or dementia. If needed, use the lowest metoclopramide dose briefly and monitor for tremor, rigidity and dystonia.
What other medicines interact with Metoclopramide?
MediHelp also lists interactions of Metoclopramide with, for example, Amantadine, Amoxapine, Antipsychotics (e.g., haloperidol). The full list is on the Metoclopramide page.
MediHelp ऐप में पूर्ण मोनोग्राफ़, खुराक और इंटरैक्शन चेकर
MediHelp ऐप में पूरा संदर्भ खोलें, कई दवाओं की अंतःक्रियाएँ जाँचें और खुराक टूल इस्तेमाल करें।
