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Interazioni tra farmaci

Azithromycin + Pimozide

Gravità: Controindicata

Azithromycin and Pimozide: contraindicated interaction.

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Sintesi

Azithromycin can prolong the QT interval, and pimozide is a drug with a narrow margin in which QT lengthening and torsades have occurred. Azithromycin is a weaker CYP3A4 inhibitor than other macrolides, but the pharmacodynamic risk remains.

Cosa significa questa interazione in parole semplici

Azithromycin and Pimozide are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Azithromycin belongs to Anti Bacterial; Pimozide belongs to Central Nervous System.

Livello di evidenza: Moderate

Perché avviene

Additive QTc prolongation

Cosa fare

Avoid; use a non-QT-prolonging antibiotic during pimozide therapy.

Cosa chiedere al farmacista

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Azithromycin with Pimozide?

MediHelp rates the interaction as contraindicated. Azithromycin and Pimozide are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Azithromycin can prolong the QT interval, and pimozide is a drug with a narrow margin in which QT lengthening and torsades have occurred. Azithromycin is a weaker CYP3A4 inhibitor than other macrolides, but the pharmacodynamic risk remains.

How serious is the interaction between Azithromycin and Pimozide?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid; use a non-QT-prolonging antibiotic during pimozide therapy.

What other medicines interact with Azithromycin?

MediHelp also lists interactions of Azithromycin with, for example, Cisapride, Domperidone, Dronedarone. The full list is on the Azithromycin page.

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