相互作用
Amisulpride + Dofetilide
重症度: 併用禁忌
Amisulpride and Dofetilide: contraindicated interaction.
最終更新日
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概要
Dofetilide is a class III antiarrhythmic with a substantial risk of torsades de pointes through QT prolongation. Amisulpride adds to this effect and may lead to life-threatening arrhythmia.
この相互作用をわかりやすく説明すると
Amisulpride and Dofetilide 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; Dofetilide belongs to Cardiovascular.
なぜ起こるのか
Additive QT prolongation by blockade of the rapid delayed rectifier potassium current.
対処法
Avoid concurrent use and choose an antipsychotic with minimal QT effect. If treatment cannot be changed, ensure continuous ECG monitoring and normal electrolytes.
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?
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、AmisulprideとDofetilide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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Amisulprideのその他の相互作用
Dofetilideのその他の相互作用
よくある質問
Can I take Amisulpride with Dofetilide?
MediHelp rates the interaction as contraindicated. Amisulpride and Dofetilide 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. Dofetilide is a class III antiarrhythmic with a substantial risk of torsades de pointes through QT prolongation. Amisulpride adds to this effect and may lead to life-threatening arrhythmia.
How serious is the interaction between Amisulpride and Dofetilide?
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 antipsychotic with minimal QT effect. If treatment cannot be changed, ensure continuous ECG monitoring and normal electrolytes.
What other medicines interact with Amisulpride?
MediHelp also lists interactions of Amisulpride with, for example, Amiodarone, Arsenic trioxide, Disopyramide. 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。