相互作用
Arsenic trioxide + Fluticasone-vilanterol
重症度: 重大
Arsenic trioxide and Fluticasone-vilanterol: major interaction.
最終更新日
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概要
Arsenic trioxide markedly prolongs the QT interval and can cause torsade de pointes. Vilanterol may add to this through beta-agonist effects on heart rate and potassium, raising arrhythmia risk in an already vulnerable patient.
この相互作用をわかりやすく説明すると
Arsenic trioxide and Fluticasone-vilanterol 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.
Arsenic trioxide belongs to Oncology; Fluticasone-vilanterol belongs to Respiratory.
なぜ起こるのか
Additive QT prolongation with beta2-agonist-related hypokalemia and sympathetic stimulation.
対処法
Prefer a non-beta-agonist alternative where possible. If used, monitor ECG and keep potassium and magnesium within normal range throughout arsenic therapy.
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、Arsenic trioxideとFluticasone-vilanterol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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Fluticasone-vilanterol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 Fluticasone-vilanterol?
MediHelp rates the interaction as major. Arsenic trioxide and Fluticasone-vilanterol 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. Arsenic trioxide markedly prolongs the QT interval and can cause torsade de pointes. Vilanterol may add to this through beta-agonist effects on heart rate and potassium, raising arrhythmia risk in an already vulnerable patient.
How serious is the interaction between Arsenic trioxide and Fluticasone-vilanterol?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Prefer a non-beta-agonist alternative where possible. If used, monitor ECG and keep potassium and magnesium within normal range throughout arsenic therapy.
What other medicines interact with Fluticasone-vilanterol?
MediHelp also lists interactions of Fluticasone-vilanterol with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Fluticasone-vilanterol 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。
