Interazioni tra farmaci
Atracurium + Fentanyl intranasal
Gravità: Maggiore
Atracurium and Fentanyl intranasal: major interaction.
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Sintesi
Fentanyl causes respiratory depression, sedation and hypotension, and these effects add to those of a neuromuscular blocker when ventilation is inadequate. Atracurium is given only with ventilatory support, but residual blockade plus opioid effect can delay safe recovery.
Cosa significa questa interazione in parole semplici
Atracurium and Fentanyl intranasal 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
Additive respiratory depression from central opioid effect and peripheral neuromuscular blockade.
Cosa fare
Use only in settings with airway and ventilatory support and monitor neuromuscular blockade, respiration and blood pressure. Reduce doses as needed.
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 Atracurium
- Amikacin + Atracurium Maggiore
- Atracurium + Bacitracin-neomycin-polymyxin Maggiore
- Atracurium + Benzhydrocodone / acetaminophen Maggiore
- Atracurium + Capreomycin Maggiore
- Atracurium + Clindamycin Maggiore
- Atracurium + Colistin Maggiore
Domande frequenti
Can I take Atracurium with Fentanyl intranasal?
MediHelp rates the interaction as major. Atracurium and Fentanyl intranasal 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. Fentanyl causes respiratory depression, sedation and hypotension, and these effects add to those of a neuromuscular blocker when ventilation is inadequate. Atracurium is given only with ventilatory support, but residual blockade plus opioid effect can delay safe recovery.
How serious is the interaction between Atracurium and Fentanyl intranasal?
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 in settings with airway and ventilatory support and monitor neuromuscular blockade, respiration and blood pressure. Reduce doses as needed.
What other medicines interact with Atracurium?
MediHelp also lists interactions of Atracurium with, for example, Amikacin, Bacitracin-neomycin-polymyxin, Benzhydrocodone / acetaminophen. The full list is on the Atracurium page.
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