相互作用
Artemether / lumefantrine + Granisetron
重症度: 重大
Artemether / lumefantrine and Granisetron: major interaction.
最終更新日
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概要
Artemether/lumefantrine can prolong the QT interval, and granisetron has a similar effect. Combining them may increase the risk of torsades de pointes, and lumefantrine has a long half-life so the risk persists after the course ends.
この相互作用をわかりやすく説明すると
Artemether / lumefantrine and Granisetron 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.
なぜ起こるのか
Additive pharmacodynamic QT prolongation via cardiac potassium channel blockade.
対処法
Avoid the combination where possible and choose a non-QT-prolonging antiemetic. If unavoidable, obtain an ECG and correct potassium and magnesium before and during treatment.
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、Artemether / lumefantrineとGranisetron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
WebでPro+を14日間無料でお試し。カード登録不要。
Granisetronのその他の相互作用
よくある質問
Can I take Artemether / lumefantrine with Granisetron?
MediHelp rates the interaction as major. Artemether / lumefantrine and Granisetron 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. Artemether/lumefantrine can prolong the QT interval, and granisetron has a similar effect. Combining them may increase the risk of torsades de pointes, and lumefantrine has a long half-life so the risk persists after the course ends.
How serious is the interaction between Artemether / lumefantrine and Granisetron?
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 the combination where possible and choose a non-QT-prolonging antiemetic. If unavoidable, obtain an ECG and correct potassium and magnesium before and during treatment.
What other medicines interact with Granisetron?
MediHelp also lists interactions of Granisetron with, for example, Apomorphine, Amiodarone, Amisulpride. The full list is on the Granisetron 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。
