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Interazioni tra farmaci

Disopyramide + Moxifloxacin

Gravità: Controindicata

Disopyramide and Moxifloxacin: contraindicated interaction.

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Sintesi

Both drugs prolong the QT interval, and combined use raises the risk of torsades de pointes and other serious ventricular arrhythmias. Disopyramide is a class Ia antiarrhythmic with notable proarrhythmic potential.

Cosa significa questa interazione in parole semplici

Disopyramide and Moxifloxacin 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.

Disopyramide belongs to Cardiovascular; Moxifloxacin belongs to Anti Bacterial.

Livello di evidenza: High

Perché avviene

Additive blockade of cardiac potassium channels (hERG) causing delayed repolarization and QT prolongation.

Cosa fare

Avoid the combination and choose a non-QT-prolonging antibacterial such as a beta-lactam. If unavoidable, ECG and electrolyte monitoring are essential.

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 Disopyramide with Moxifloxacin?

MediHelp rates the interaction as contraindicated. Disopyramide and Moxifloxacin 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. Both drugs prolong the QT interval, and combined use raises the risk of torsades de pointes and other serious ventricular arrhythmias. Disopyramide is a class Ia antiarrhythmic with notable proarrhythmic potential.

How serious is the interaction between Disopyramide and Moxifloxacin?

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 the combination and choose a non-QT-prolonging antibacterial such as a beta-lactam. If unavoidable, ECG and electrolyte monitoring are essential.

What other medicines interact with Moxifloxacin?

MediHelp also lists interactions of Moxifloxacin with, for example, Amiodarone, Arsenic trioxide, Dofetilide. The full list is on the Moxifloxacin page.

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