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相互作用

Amitriptyline + Atropine

重症度: 中等度

Amitriptyline and Atropine: moderate interaction.

最終更新日

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概要

Both drugs have antimuscarinic activity, so combined use can produce additive effects such as dry mouth, constipation, urinary retention, blurred vision and tachycardia. Older patients and those with glaucoma or prostatic hyperplasia are at particular risk.

この相互作用をわかりやすく説明すると

Amitriptyline and Atropine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amitriptyline belongs to Central Nervous System; Atropine belongs to Miscellaneous.

エビデンスレベル: Moderate

なぜ起こるのか

Additive blockade of muscarinic acetylcholine receptors.

対処法

Monitor for anticholinergic toxicity such as urinary retention, ileus, confusion and tachycardia. Use the lowest effective doses or choose a less anticholinergic alternative in high-risk patients.

薬剤師に尋ねること

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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、AmitriptylineとAtropine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 Amitriptyline with Atropine?

MediHelp rates the interaction as moderate. Amitriptyline and Atropine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Both drugs have antimuscarinic activity, so combined use can produce additive effects such as dry mouth, constipation, urinary retention, blurred vision and tachycardia. Older patients and those with glaucoma or prostatic hyperplasia are at particular risk.

How serious is the interaction between Amitriptyline and Atropine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for anticholinergic toxicity such as urinary retention, ileus, confusion and tachycardia. Use the lowest effective doses or choose a less anticholinergic alternative in high-risk patients.

What other medicines interact with Amitriptyline?

MediHelp also lists interactions of Amitriptyline with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Amitriptyline 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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