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Interazioni tra farmaci

Amifostine + Clonidine

Gravità: Maggiore

Amifostine and Clonidine: major interaction.

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Sintesi

Amifostine commonly causes hypotension, and antihypertensives such as clonidine can increase its frequency and severity. At chemotherapy doses this can cause significant hemodynamic compromise.

Cosa significa questa interazione in parole semplici

Amifostine and Clonidine 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.

Amifostine belongs to Miscellaneous; Clonidine belongs to Cardiovascular.

Livello di evidenza: Moderate

Perché avviene

Additive blood pressure lowering through central sympatholytic action and amifostine-induced hypotension.

Cosa fare

For chemotherapeutic doses of amifostine, hold clonidine for 24 hours beforehand where safely possible; if it cannot be held, do not give amifostine. Avoid abrupt clonidine withdrawal without a plan for rebound hypertension.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Domande frequenti

Can I take Amifostine with Clonidine?

MediHelp rates the interaction as major. Amifostine and Clonidine 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. Amifostine commonly causes hypotension, and antihypertensives such as clonidine can increase its frequency and severity. At chemotherapy doses this can cause significant hemodynamic compromise.

How serious is the interaction between Amifostine and Clonidine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: For chemotherapeutic doses of amifostine, hold clonidine for 24 hours beforehand where safely possible; if it cannot be held, do not give amifostine. Avoid abrupt clonidine withdrawal without a plan for rebound hypertension.

What other medicines interact with Clonidine?

MediHelp also lists interactions of Clonidine with, for example, Acebutolol, Amiodarone, Amoxapine. The full list is on the Clonidine page.

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