Interazioni tra farmaci
Clarithromycin + Pasireotide
Gravità: Maggiore
Clarithromycin and Pasireotide: 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
Both drugs can prolong the QT interval, and pasireotide also causes bradycardia. Together they may increase the risk of torsades de pointes, particularly with electrolyte disturbance or heart disease.
Cosa significa questa interazione in parole semplici
Clarithromycin and Pasireotide 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.
Clarithromycin belongs to Anti Bacterial; Pasireotide belongs to Endocrine.
Perché avviene
Additive QT prolongation, with pasireotide-induced bradycardia adding to the arrhythmic risk.
Cosa fare
Check ECG and electrolytes at baseline and correct potassium and magnesium deficits. Monitor QTc during co-therapy, or choose a non-QT-prolonging antibiotic.
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 Clarithromycin e Pasireotide, 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 7 giorni sul web. Nessuna carta.
Altre interazioni di Clarithromycin
- Astemizole + Clarithromycin Controindicata
- Avanafil + Clarithromycin Controindicata
- Cisapride + Clarithromycin Controindicata
- Clarithromycin + Colchicine Controindicata
- Clarithromycin + Conivaptan Controindicata
- Clarithromycin + Dihydroergotamine Controindicata
Altre interazioni di Pasireotide
- Dronedarone + Pasireotide Controindicata
- Pasireotide + Pimozide Controindicata
- Amiodarone + Pasireotide Maggiore
- Amisulpride + Pasireotide Maggiore
- Amitriptyline + Pasireotide Maggiore
- Anagrelide + Pasireotide Maggiore
Domande frequenti
Can I take Clarithromycin with Pasireotide?
MediHelp rates the interaction as major. Clarithromycin and Pasireotide 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. Both drugs can prolong the QT interval, and pasireotide also causes bradycardia. Together they may increase the risk of torsades de pointes, particularly with electrolyte disturbance or heart disease.
How serious is the interaction between Clarithromycin and Pasireotide?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check ECG and electrolytes at baseline and correct potassium and magnesium deficits. Monitor QTc during co-therapy, or choose a non-QT-prolonging antibiotic.
What other medicines interact with Clarithromycin?
MediHelp also lists interactions of Clarithromycin with, for example, Astemizole, Avanafil, Cisapride. The full list is on the Clarithromycin 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.
