Interazioni tra farmaci
Amphotericin b deoxycholate + Digoxin
Gravità: Maggiore
Amphotericin b deoxycholate and Digoxin: 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
Amphotericin B commonly causes hypokalemia and hypomagnesemia, which sensitize the myocardium to digoxin. This increases the risk of digoxin toxicity and arrhythmias even at normal serum levels.
Cosa significa questa interazione in parole semplici
Amphotericin b deoxycholate and Digoxin 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.
Perché avviene
Amphotericin-induced renal potassium and magnesium wasting produces additive pharmacodynamic enhancement of digoxin toxicity.
Cosa fare
Monitor and correct serum potassium and magnesium regularly. Check digoxin levels and ECG, and consider a digoxin dose reduction if electrolyte disturbances persist.
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?
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 Amphotericin b deoxycholate e Digoxin, 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
Provi Pro+ gratis per 14 giorni sul web. Nessuna carta.
Altre interazioni di Digoxin
- Digoxin + Lily of the valley Controindicata
- Digoxin + Squill Controindicata
- Adagrasib + Digoxin Maggiore
- Amiodarone + Digoxin Maggiore
- Amlodipine-hydrochlorothiazide-valsartan + Digoxin Maggiore
- Amphotericin b + Digoxin Maggiore
Domande frequenti
Can I take Amphotericin b deoxycholate with Digoxin?
MediHelp rates the interaction as major. Amphotericin b deoxycholate and Digoxin 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. Amphotericin B commonly causes hypokalemia and hypomagnesemia, which sensitize the myocardium to digoxin. This increases the risk of digoxin toxicity and arrhythmias even at normal serum levels.
How serious is the interaction between Amphotericin b deoxycholate and Digoxin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor and correct serum potassium and magnesium regularly. Check digoxin levels and ECG, and consider a digoxin dose reduction if electrolyte disturbances persist.
What other medicines interact with Digoxin?
MediHelp also lists interactions of Digoxin with, for example, Lily of the valley, Squill, Adagrasib. The full list is on the Digoxin 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.
