相互作用
Arsenic trioxide + Clomipramine
重症度: 併用禁忌
Arsenic trioxide and Clomipramine: contraindicated interaction.
最終更新日
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概要
Arsenic trioxide causes marked QT prolongation and has been linked to torsades de pointes. Clomipramine also prolongs QT, so the combination adds serious arrhythmic risk.
この相互作用をわかりやすく説明すると
Arsenic trioxide and Clomipramine 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 belongs to Oncology; Clomipramine belongs to Central Nervous System.
なぜ起こるのか
Additive QT prolongation by effects on cardiac ion channels.
対処法
Avoid the combination and use an antidepressant with minimal QT effect. If it cannot be avoided, use close ECG and electrolyte monitoring.
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、Arsenic trioxideとClomipramine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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Clomipramineのその他の相互作用
Arsenic trioxideのその他の相互作用
よくある質問
Can I take Arsenic trioxide with Clomipramine?
MediHelp rates the interaction as contraindicated. Arsenic trioxide and Clomipramine 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 causes marked QT prolongation and has been linked to torsades de pointes. Clomipramine also prolongs QT, so the combination adds serious arrhythmic risk.
How serious is the interaction between Arsenic trioxide and Clomipramine?
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 the combination and use an antidepressant with minimal QT effect. If it cannot be avoided, use close ECG and electrolyte monitoring.
What other medicines interact with Clomipramine?
MediHelp also lists interactions of Clomipramine with, for example, Dofetilide, Droperidol, Isocarboxazid. The full list is on the Clomipramine 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。
