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相互作用

Amisulpride + Ibutilide

重症度: 併用禁忌

Amisulpride and Ibutilide: contraindicated interaction.

最終更新日

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概要

Ibutilide is a class III antiarrhythmic with a high risk of torsades de pointes, and amisulpride adds further QT prolongation. The combination can cause life-threatening arrhythmia.

この相互作用をわかりやすく説明すると

Amisulpride and Ibutilide 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; Ibutilide belongs to Cardiovascular.

エビデンスレベル: Moderate

なぜ起こるのか

Additive potassium channel blockade producing marked delayed repolarization.

対処法

Do not use together; hold amisulpride or choose another cardioversion strategy. If ibutilide is given, continuous ECG monitoring is required.

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Ibutilide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 Ibutilide?

MediHelp rates the interaction as contraindicated. Amisulpride and Ibutilide 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. Ibutilide is a class III antiarrhythmic with a high risk of torsades de pointes, and amisulpride adds further QT prolongation. The combination can cause life-threatening arrhythmia.

How serious is the interaction between Amisulpride and Ibutilide?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use together; hold amisulpride or choose another cardioversion strategy. If ibutilide is given, continuous ECG monitoring is required.

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。

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