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相互作用

Amisulpride + Arsenic trioxide

重症度: 併用禁忌

Amisulpride and Arsenic trioxide: contraindicated interaction.

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概要

Arsenic trioxide markedly prolongs the QT interval and has been linked to torsades de pointes. Adding amisulpride, which also prolongs QTc, increases the risk of life-threatening arrhythmia.

この相互作用をわかりやすく説明すると

Amisulpride and Arsenic trioxide 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.

Amisulpride belongs to Central Nervous System; Arsenic trioxide belongs to Oncology.

エビデンスレベル: Moderate

なぜ起こるのか

Additive prolongation of cardiac repolarization through effects on cardiac ion channels such as hERG.

対処法

Avoid concurrent use and choose an alternative antipsychotic or antiemetic with lower QT risk. If unavoidable, monitor ECG continuously and keep potassium and magnesium in the normal range.

薬剤師に尋ねること

  • 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.

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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、AmisulprideとArsenic trioxide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 Amisulpride with Arsenic trioxide?

MediHelp rates the interaction as contraindicated. Amisulpride and Arsenic trioxide 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. Arsenic trioxide markedly prolongs the QT interval and has been linked to torsades de pointes. Adding amisulpride, which also prolongs QTc, increases the risk of life-threatening arrhythmia.

How serious is the interaction between Amisulpride and Arsenic trioxide?

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 and choose an alternative antipsychotic or antiemetic with lower QT risk. If unavoidable, monitor ECG continuously and keep potassium and magnesium in the normal range.

What other medicines interact with Amisulpride?

MediHelp also lists interactions of Amisulpride with, for example, Amiodarone, Disopyramide, Dofetilide. The full list is on the Amisulpride 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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