Interazioni tra farmaci
Dichlorphenamide + Mafenide
Gravità: Maggiore
Dichlorphenamide and Mafenide: major interaction.
Ultimo aggiornamento
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Sintesi
Both mafenide, applied to burns, and dichlorphenamide inhibit carbonic anhydrase. Mafenide absorbed over large burn areas can cause metabolic acidosis, and adding systemic dichlorphenamide may deepen this and cause hyperventilation.
Cosa significa questa interazione in parole semplici
Dichlorphenamide and Mafenide 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.
Dichlorphenamide belongs to Miscellaneous; Mafenide belongs to Dermatology.
Perché avviene
Additive carbonic anhydrase inhibition leading to bicarbonate wasting and metabolic acidosis.
Cosa fare
Monitor arterial blood gases or serum bicarbonate closely, especially with extensive burns. Consider stopping mafenide or holding dichlorphenamide if significant acidosis occurs.
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 Dichlorphenamide
- Acetazolamide + Dichlorphenamide Maggiore
- Acetylsalicylic acid + Dichlorphenamide Maggiore
- Ammonium chloride + Dichlorphenamide Maggiore
- Aspirin rectal + Dichlorphenamide Maggiore
- Aspirin + Dichlorphenamide Maggiore
- Bismuth subsalicylate + Dichlorphenamide Maggiore
Domande frequenti
Can I take Dichlorphenamide with Mafenide?
MediHelp rates the interaction as major. Dichlorphenamide and Mafenide 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 mafenide, applied to burns, and dichlorphenamide inhibit carbonic anhydrase. Mafenide absorbed over large burn areas can cause metabolic acidosis, and adding systemic dichlorphenamide may deepen this and cause hyperventilation.
How serious is the interaction between Dichlorphenamide and Mafenide?
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 arterial blood gases or serum bicarbonate closely, especially with extensive burns. Consider stopping mafenide or holding dichlorphenamide if significant acidosis occurs.
What other medicines interact with Dichlorphenamide?
MediHelp also lists interactions of Dichlorphenamide with, for example, Acetazolamide, Acetylsalicylic acid, Ammonium chloride. The full list is on the Dichlorphenamide page.
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