医薬品リファレンス
Trospium
Trospium is a medicine in the class genitourinary. It is used for overactive bladder.
- 薬効分類: Genitourinary
- 効能・効果: overactive bladder
最終更新日
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要点
- 薬効分類
- Genitourinary
- 一般的な剤形
- 錠剤
- 一般的な規格
- 20 mg, 30 mg, 60 mg
- 既知の相互作用
- 104 (重大: 4 · 中等度: 81 · 軽度: 19)
- 商品名
- 11
- 国・市場
- 4
何に使われるか
作用のしくみ
Reduces the smooth muscle tone of the bladder by antagonizing the effects of acetyl choline on muscarinic receptors.
成人の通常用量(添付文書の要約)
Overactive Bladder (Immediate release): 20 mg orally twice daily.
妊娠と授乳
- 妊娠
- Unknown No human pregnancy data. Rats: no malformations at about 9 times human exposure. Rabbits: one fetus in each dose group had multiple malformations, not dose-related. US label: use only if the benefit outweighs the risk; UK label: caution. Try bladder training first.
- 授乳
- Safe Not known if it passes into human milk; under 1% of the dose reached rat milk. A charged molecule, so little is expected in milk. UK label: caution; US: only if benefit justifies risk. LactMed (xanomeline-trospium record): not a reason to stop breastfeeding; watch infant weight gain.
報告されている副作用
- Headache
- Dry mouth
- Constipation
禁忌
- Urinary/gastric retention
- Uncontrolled narrow-angle glaucoma
- Hypersensitivity
注意が必要な方
- Contraindicated in Urinary/gastric retention, uncontrolled narrow-angle glaucoma.
- Use caution in renal impairment, geriatric patients, moderate or severe hepatic dysfunction.
- To administer, must carefully monitor patients with controlled narrow-angle glaucoma; benefits should outweigh risks.
妊娠中または授乳中であること、腎臓や肝臓の病気、アレルギー、ほかに使用しているすべての薬やサプリメントについて、薬剤師または医師にお伝えください。
主な相互作用 (104)
- Clozapine + Trospium Major
- Pramlintide + Trospium Major
- Thioridazine + Trospium Major
- Trihexyphenidyl + Trospium Major
- Aclidinium + Trospium Moderate
- Amantadine + Trospium Moderate
- Amitriptyline + Trospium Moderate
- Amoxapine + Trospium Moderate
- Atropine + Trospium Moderate
- Atropine iv / + Trospium Moderate
Pro+会員向け
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アカウントを作成してPro+トライアルを始めると、Trospiumの完全なモノグラフ(用量、妊娠・授乳、副作用、警告、すべての相互作用)を表示できます。
- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- Paediatric dosing
- Dosing in older adults
- Pharmacokinetics
- Patient counselling points
- Food interactions
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同じ分類のほかの薬剤
よくある質問
What is Trospium used for?
Trospium is a medicine in the class genitourinary. It is used for Overactive bladder.
What side effects have been reported with Trospium?
Headache, Dry mouth, Constipation.
Can Trospium be taken in pregnancy or while breastfeeding?
Pregnancy: Unknown. No human pregnancy data. Rats: no malformations at about 9 times human exposure. Rabbits: one fetus in each dose group had multiple malformations, not dose-related. US label: use only if the benefit outweighs the risk; UK label: caution. Try bladder training first. Breastfeeding: Safe. Not known if it passes into human milk; under 1% of the dose reached rat milk. A charged molecule, so little is expected in milk. UK label: caution; US: only if benefit justifies risk. LactMed (xanomeline-trospium record): not a reason to stop breastfeeding; watch infant weight gain.
What does Trospium interact with?
MediHelp lists 104 known interactions for Trospium. Major: 4 · Moderate: 81 · Minor: 19. The most serious include Clozapine, Pramlintide, Thioridazine.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。