相互作用
Amiodarone + Nadolol
重症度: 重大
Amiodarone and Nadolol: major interaction.
最終更新日 出典: US FDA label
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概要
Both drugs slow the sinus rate and AV conduction, so combined use may cause symptomatic bradycardia, AV block or hypotension. The risk is highest in older patients or those with conduction disease or heart failure.
この相互作用をわかりやすく説明すると
Amiodarone and Nadolol 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.
Amiodarone belongs to Cardiovascular; Nadolol belongs to Cardiovascular.
なぜ起こるのか
Additive negative chronotropic and dromotropic effects through beta blockade and amiodarone's channel and adrenergic effects.
対処法
Monitor heart rate, blood pressure and ECG, especially after initiation or dose increases. Reduce the nadolol dose or stop one drug if significant bradycardia or block develops.
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、AmiodaroneとNadolol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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参考文献
Amiodaroneのその他の相互作用
Nadololのその他の相互作用
よくある質問
Can I take Amiodarone with Nadolol?
MediHelp rates the interaction as major. Amiodarone and Nadolol 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. Both drugs slow the sinus rate and AV conduction, so combined use may cause symptomatic bradycardia, AV block or hypotension. The risk is highest in older patients or those with conduction disease or heart failure.
How serious is the interaction between Amiodarone and Nadolol?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor heart rate, blood pressure and ECG, especially after initiation or dose increases. Reduce the nadolol dose or stop one drug if significant bradycardia or block develops.
What other medicines interact with Amiodarone?
MediHelp also lists interactions of Amiodarone with, for example, Amisulpride, Arsenic trioxide, Dofetilide. The full list is on the Amiodarone 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。
