Interazioni tra farmaci
Amitriptyline + Umeclidinium-vilanterol
Gravità: Maggiore
Amitriptyline and Umeclidinium-vilanterol: major interaction.
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Sintesi
Amitriptyline can potentiate the cardiovascular effects of vilanterol and prolongs the QT interval. It also has anticholinergic effects that add to those of umeclidinium, such as dry mouth, urinary retention and tachycardia.
Cosa significa questa interazione in parole semplici
Amitriptyline and Umeclidinium-vilanterol 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; Umeclidinium-vilanterol belongs to Respiratory.
Perché avviene
Additive adrenergic stimulation, QT prolongation and anticholinergic effects.
Cosa fare
Use only with monitoring of ECG, heart rate and blood pressure, and watch for anticholinergic effects. Consider a non-tricyclic antidepressant when feasible.
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 Umeclidinium-vilanterol
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Domande frequenti
Can I take Amitriptyline with Umeclidinium-vilanterol?
MediHelp rates the interaction as major. Amitriptyline and Umeclidinium-vilanterol 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 can potentiate the cardiovascular effects of vilanterol and prolongs the QT interval. It also has anticholinergic effects that add to those of umeclidinium, such as dry mouth, urinary retention and tachycardia.
How serious is the interaction between Amitriptyline and Umeclidinium-vilanterol?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use only with monitoring of ECG, heart rate and blood pressure, and watch for anticholinergic effects. Consider a non-tricyclic antidepressant when feasible.
What other medicines interact with Umeclidinium-vilanterol?
MediHelp also lists interactions of Umeclidinium-vilanterol with, for example, Aclidinium, Amiodarone, Amoxapine. The full list is on the Umeclidinium-vilanterol page.
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