Interazioni tra farmaci
Clomipramine + Indacaterol-glycopyrronium
Gravità: Maggiore
Clomipramine and Indacaterol-glycopyrronium: 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
Tricyclic antidepressants can potentiate the cardiovascular effects of beta-2 agonists and prolong the QT interval. Clomipramine is also strongly anticholinergic, adding to glycopyrronium's antimuscarinic effects.
Cosa significa questa interazione in parole semplici
Clomipramine and Indacaterol-glycopyrronium 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.
Clomipramine belongs to Central Nervous System; Indacaterol-glycopyrronium belongs to Respiratory.
Perché avviene
Additive QT prolongation, enhanced adrenergic cardiac effects and additive antimuscarinic activity.
Cosa fare
Obtain a baseline ECG and monitor QTc, heart rate and electrolytes. Watch for anticholinergic effects such as urinary retention and constipation.
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 Clomipramine e Indacaterol-glycopyrronium, 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 Indacaterol-glycopyrronium
Altre interazioni di Clomipramine
- Arsenic trioxide + Clomipramine Controindicata
- Clomipramine + Dofetilide Controindicata
- Clomipramine + Droperidol Controindicata
- Clomipramine + Isocarboxazid Controindicata
- Clomipramine + Methylene blue Controindicata
- Clomipramine + Pentamidine Controindicata
Domande frequenti
Can I take Clomipramine with Indacaterol-glycopyrronium?
MediHelp rates the interaction as major. Clomipramine and Indacaterol-glycopyrronium 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. Tricyclic antidepressants can potentiate the cardiovascular effects of beta-2 agonists and prolong the QT interval. Clomipramine is also strongly anticholinergic, adding to glycopyrronium's antimuscarinic effects.
How serious is the interaction between Clomipramine and Indacaterol-glycopyrronium?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and monitor QTc, heart rate and electrolytes. Watch for anticholinergic effects such as urinary retention and constipation.
What other medicines interact with Indacaterol-glycopyrronium?
MediHelp also lists interactions of Indacaterol-glycopyrronium with, for example, Amisulpride, Arformoterol, Arsenic trioxide. The full list is on the Indacaterol-glycopyrronium 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.
