相互作用
Aripiprazole + Cisapride
重症度: 重大
Aripiprazole and Cisapride: major interaction.
最終更新日
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概要
Cisapride and aripiprazole each delay ventricular repolarisation, so using them together adds to the chance of marked QTc lengthening. This can precipitate torsades de pointes, particularly with hypokalaemia, bradycardia or structural heart disease.
この相互作用をわかりやすく説明すると
Aripiprazole and Cisapride 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.
Aripiprazole belongs to Central Nervous System; Cisapride belongs to Gastrointestinal Tract.
なぜ起こるのか
Additive QTc prolongation through hERG potassium channel blockade
対処法
Avoid if an alternative exists; otherwise get a baseline ECG, correct potassium and magnesium, and re-check QTc after starting.
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?
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、AripiprazoleとCisapride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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Cisaprideのその他の相互作用
Aripiprazoleのその他の相互作用
よくある質問
Can I take Aripiprazole with Cisapride?
MediHelp rates the interaction as major. Aripiprazole and Cisapride 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. Cisapride and aripiprazole each delay ventricular repolarisation, so using them together adds to the chance of marked QTc lengthening. This can precipitate torsades de pointes, particularly with hypokalaemia, bradycardia or structural heart disease.
How serious is the interaction between Aripiprazole and Cisapride?
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 if an alternative exists; otherwise get a baseline ECG, correct potassium and magnesium, and re-check QTc after starting.
What other medicines interact with Cisapride?
MediHelp also lists interactions of Cisapride with, for example, Apomorphine, Artemether, Azithromycin. The full list is on the Cisapride 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。
