Interazioni tra farmaci
Dexamethasone + Glycerol phenylbutyrate
Gravità: Maggiore
Dexamethasone and Glycerol phenylbutyrate: 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
Corticosteroids promote protein catabolism and can raise ammonia, working against the ammonia-lowering aim of glycerol phenylbutyrate in urea cycle disorders. This can precipitate hyperammonemia.
Cosa significa questa interazione in parole semplici
Dexamethasone and Glycerol phenylbutyrate 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.
Dexamethasone belongs to Endocrine; Glycerol phenylbutyrate belongs to Miscellaneous.
Perché avviene
Glucocorticoid-induced protein breakdown increases nitrogen load and plasma ammonia, opposing the nitrogen scavenging action.
Cosa fare
Monitor plasma ammonia closely and adjust the glycerol phenylbutyrate dose or protein intake if ammonia rises; avoid unnecessary steroid use.
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 Dexamethasone e Glycerol phenylbutyrate, 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 Dexamethasone
- Bcg vaccine live + Dexamethasone Controindicata
- Dexamethasone + Mifepristone Controindicata
- Dexamethasone + Rilpivirine Controindicata
- Dexamethasone + Smallpox vaccine live Controindicata
- Dexamethasone + Varicella virus vaccine live Controindicata
- Dexamethasone + Yellow fever vaccine Controindicata
Altre interazioni di Glycerol phenylbutyrate
- Glycerol phenylbutyrate + Sodium valproate Maggiore
- Glycerol phenylbutyrate + Valproic acid Maggiore
- Cyclosporin + Glycerol phenylbutyrate Moderata
- Dexamethasone-neomycin-polymyxin + Glycerol phenylbutyrate Moderata
- Dexamethasone-tobramycin + Glycerol phenylbutyrate Moderata
- Fludrocortisone + Glycerol phenylbutyrate Moderata
Domande frequenti
Can I take Dexamethasone with Glycerol phenylbutyrate?
MediHelp rates the interaction as major. Dexamethasone and Glycerol phenylbutyrate 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. Corticosteroids promote protein catabolism and can raise ammonia, working against the ammonia-lowering aim of glycerol phenylbutyrate in urea cycle disorders. This can precipitate hyperammonemia.
How serious is the interaction between Dexamethasone and Glycerol phenylbutyrate?
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 plasma ammonia closely and adjust the glycerol phenylbutyrate dose or protein intake if ammonia rises; avoid unnecessary steroid use.
What other medicines interact with Dexamethasone?
MediHelp also lists interactions of Dexamethasone with, for example, Bcg vaccine live, Mifepristone, Rilpivirine. The full list is on the Dexamethasone 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.
