Vai al contenuto

Interazioni tra farmaci

Mefloquine + Quinine

Gravità: Controindicata

Mefloquine and Quinine: contraindicated 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

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.

Livello di evidenza: Moderate

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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 Mefloquine e Quinine, 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.

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.

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.

Sfoglia dalla A alla Z · Interazioni tra farmaci

Scarica l'app Accedi