Interazioni tra farmaci
Mefloquine + Quinine
Gravità: Controindicata
Mefloquine and Quinine: contraindicated interaction.
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Sintesi
Both agents prolong the QT interval and mefloquine can also cause conduction abnormalities and seizures. Given together, or soon after one another, they raise the risk of serious arrhythmias and cardiac arrest.
Cosa significa questa interazione in parole semplici
Mefloquine and Quinine 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.
Mefloquine belongs to Anti Parasitic; Quinine belongs to Anti Parasitic.
Perché avviene
Additive QT prolongation and cardiac conduction effects (pharmacodynamic synergism).
Cosa fare
Avoid concurrent use; do not give mefloquine within about 12 hours after quinine. If quinine is required for severe malaria, use ECG monitoring and avoid mefloquine prophylaxis or treatment.
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?
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Altre interazioni di Quinine
- Arsenic trioxide + Quinine Controindicata
- Dofetilide + Quinine Controindicata
- Dronedarone + Quinine Controindicata
- Ibutilide + Quinine Controindicata
- Nilotinib + Quinine Controindicata
- Pimozide + Quinine Controindicata
Altre interazioni di Mefloquine
- Arsenic trioxide + Mefloquine Controindicata
- Dronedarone + Mefloquine Controindicata
- Ibutilide + Mefloquine Controindicata
- Levoketoconazole + Mefloquine Controindicata
- Mefloquine + Nilotinib Controindicata
- Mefloquine + Pimozide Controindicata
Domande frequenti
Can I take Mefloquine with Quinine?
MediHelp rates the interaction as contraindicated. Mefloquine and Quinine 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 agents prolong the QT interval and mefloquine can also cause conduction abnormalities and seizures. Given together, or soon after one another, they raise the risk of serious arrhythmias and cardiac arrest.
How serious is the interaction between Mefloquine and Quinine?
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 concurrent use; do not give mefloquine within about 12 hours after quinine. If quinine is required for severe malaria, use ECG monitoring and avoid mefloquine prophylaxis or treatment.
What other medicines interact with Quinine?
MediHelp also lists interactions of Quinine with, for example, Arsenic trioxide, Dofetilide, Dronedarone. The full list is on the Quinine page.
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