相互作用
Amifostine + Clonidine
重症度: 重大
Amifostine and Clonidine: major interaction.
最終更新日
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概要
Amifostine commonly causes hypotension, and antihypertensives such as clonidine can increase its frequency and severity. At chemotherapy doses this can cause significant hemodynamic compromise.
この相互作用をわかりやすく説明すると
Amifostine and Clonidine 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.
Amifostine belongs to Miscellaneous; Clonidine belongs to Cardiovascular.
なぜ起こるのか
Additive blood pressure lowering through central sympatholytic action and amifostine-induced hypotension.
対処法
For chemotherapeutic doses of amifostine, hold clonidine for 24 hours beforehand where safely possible; if it cannot be held, do not give amifostine. Avoid abrupt clonidine withdrawal without a plan for rebound hypertension.
薬剤師に尋ねること
- 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?
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、AmifostineとClonidineの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
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Clonidineのその他の相互作用
Amifostineのその他の相互作用
よくある質問
Can I take Amifostine with Clonidine?
MediHelp rates the interaction as major. Amifostine and Clonidine 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. Amifostine commonly causes hypotension, and antihypertensives such as clonidine can increase its frequency and severity. At chemotherapy doses this can cause significant hemodynamic compromise.
How serious is the interaction between Amifostine and Clonidine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: For chemotherapeutic doses of amifostine, hold clonidine for 24 hours beforehand where safely possible; if it cannot be held, do not give amifostine. Avoid abrupt clonidine withdrawal without a plan for rebound hypertension.
What other medicines interact with Clonidine?
MediHelp also lists interactions of Clonidine with, for example, Acebutolol, Amiodarone, Amoxapine. The full list is on the Clonidine page.
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。
