Vai al contenuto
MediHelp
MediHelp Riferimento sui farmaci

Interazioni tra farmaci

Amitriptyline + Diphenoxylate-atropine

Gravità: Maggiore

Amitriptyline and Diphenoxylate-atropine: major interaction.

Ultimo aggiornamento

Per operatori sanitari — solo a scopo di riferimento. Questa pagina è una sintesi breve, non è un parere medico e non sostituisce il RCP ufficiale né il giudizio clinico. Verificare sempre prima di prescrivere o dispensare.

Il contenuto clinico di questa pagina è disponibile solo in inglese.

Sintesi

Amitriptyline is strongly anticholinergic and sedating, and the atropine and diphenoxylate components add to this. The combination can cause constipation progressing to ileus, urinary retention, tachycardia, confusion and excess sedation.

Cosa significa questa interazione in parole semplici

Amitriptyline and Diphenoxylate-atropine 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.

Amitriptyline belongs to Central Nervous System; Diphenoxylate-atropine belongs to Gastrointestinal Tract.

Livello di evidenza: Moderate

Perché avviene

Additive muscarinic blockade and additive CNS depression.

Cosa fare

Avoid combining where possible, especially in older patients or those with ileus or urinary retention; if used, monitor bowel and bladder function and mental status.

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.

Per gli utenti Pro+

Sblocca la pagina completa

Crei un account e avvii una prova di Pro+ per sbloccare le indicazioni complete sulla gestione di Amitriptyline e Diphenoxylate-atropine, le note aggiuntive, il dettaglio delle evidenze e il controllo delle interazioni per un'intera prescrizione.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription
Crea un account gratuito Accedi

Provi Pro+ gratis per 14 giorni sul web. Nessuna carta.

Domande frequenti

Can I take Amitriptyline with Diphenoxylate-atropine?

MediHelp rates the interaction as major. Amitriptyline and Diphenoxylate-atropine 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. Amitriptyline is strongly anticholinergic and sedating, and the atropine and diphenoxylate components add to this. The combination can cause constipation progressing to ileus, urinary retention, tachycardia, confusion and excess sedation.

How serious is the interaction between Amitriptyline and Diphenoxylate-atropine?

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 combining where possible, especially in older patients or those with ileus or urinary retention; if used, monitor bowel and bladder function and mental status.

What other medicines interact with Diphenoxylate-atropine?

MediHelp also lists interactions of Diphenoxylate-atropine with, for example, Isocarboxazid, Phenelzine, Tranylcypromine. The full list is on the Diphenoxylate-atropine page.

Monografie complete, posologie e verifica delle interazioni nell'app MediHelp

Apra il riferimento completo, verifichi le interazioni tra più farmaci e usi gli strumenti di posologia nell'app MediHelp.

Scarica suApp Store Disponibile suGoogle Play

Sfoglia dalla A alla Z · Interazioni tra farmaci

Scarica l'app Accedi