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相互作用

Amiodarone + Ofloxacin

重症度: 重大

Amiodarone and Ofloxacin: major interaction.

最終更新日

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概要

Amiodarone markedly prolongs the QT interval and ofloxacin can add to this effect, raising the risk of torsades de pointes. The risk is higher with hypokalemia, bradycardia or structural heart disease.

この相互作用をわかりやすく説明すると

Amiodarone and Ofloxacin 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; Ofloxacin belongs to Anti Bacterial.

エビデンスレベル: Moderate

なぜ起こるのか

Additive potassium channel blockade causing delayed ventricular repolarization.

対処法

Avoid the combination and use a non-QT-prolonging antibiotic. If unavoidable, monitor ECG and keep potassium and magnesium within normal range.

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?

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

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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、AmiodaroneとOfloxacin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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よくある質問

Can I take Amiodarone with Ofloxacin?

MediHelp rates the interaction as major. Amiodarone and Ofloxacin 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 markedly prolongs the QT interval and ofloxacin can add to this effect, raising the risk of torsades de pointes. The risk is higher with hypokalemia, bradycardia or structural heart disease.

How serious is the interaction between Amiodarone and Ofloxacin?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination and use a non-QT-prolonging antibiotic. If unavoidable, monitor ECG and keep potassium and magnesium within normal range.

What other medicines interact with Ofloxacin?

MediHelp also lists interactions of Ofloxacin with, for example, Thioridazine, Adagrasib, Amisulpride. The full list is on the Ofloxacin 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。

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