Interazioni tra farmaci
Alprazolam + Chlordiazepoxide-clidinium
Gravità: Maggiore
Alprazolam and Chlordiazepoxide-clidinium: major interaction.
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Sintesi
Combining two benzodiazepines duplicates therapy and increases sedation, psychomotor impairment, falls and respiratory depression risk. There is no therapeutic advantage to the combination in most patients.
Cosa significa questa interazione in parole semplici
Alprazolam and Chlordiazepoxide-clidinium 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.
Alprazolam belongs to Central Nervous System; Chlordiazepoxide-clidinium belongs to Gastrointestinal Tract.
Perché avviene
Additive GABA-A receptor mediated CNS and respiratory depression.
Cosa fare
Avoid concurrent use of two benzodiazepines and consolidate to a single agent. If unavoidable, use the lowest doses for the shortest time and monitor sedation.
Cosa chiedere al farmacista
- 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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Altre interazioni di Chlordiazepoxide-clidinium
- Alfentanil + Chlordiazepoxide-clidinium Maggiore
- Amobarbital + Chlordiazepoxide-clidinium Maggiore
- Belladonna and opium + Chlordiazepoxide-clidinium Maggiore
- Benzhydrocodone / acetaminophen + Chlordiazepoxide-clidinium Maggiore
- Brexanolone + Chlordiazepoxide-clidinium Maggiore
- Buprenorphine buccal + Chlordiazepoxide-clidinium Maggiore
Altre interazioni di Alprazolam
- Alprazolam + Calcium / magnesium / potassium / sodium oxybates Controindicata
- Alprazolam + Itraconazole Controindicata
- Alprazolam + Ketoconazole Controindicata
- Alprazolam + Levoketoconazole Controindicata
- Alprazolam + Sodium oxybate Controindicata
- Alfentanil + Alprazolam Maggiore
Domande frequenti
Can I take Alprazolam with Chlordiazepoxide-clidinium?
MediHelp rates the interaction as major. Alprazolam and Chlordiazepoxide-clidinium 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. Combining two benzodiazepines duplicates therapy and increases sedation, psychomotor impairment, falls and respiratory depression risk. There is no therapeutic advantage to the combination in most patients.
How serious is the interaction between Alprazolam and Chlordiazepoxide-clidinium?
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 concurrent use of two benzodiazepines and consolidate to a single agent. If unavoidable, use the lowest doses for the shortest time and monitor sedation.
What other medicines interact with Chlordiazepoxide-clidinium?
MediHelp also lists interactions of Chlordiazepoxide-clidinium with, for example, Alfentanil, Amobarbital, Belladonna and opium. The full list is on the Chlordiazepoxide-clidinium page.
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