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相互作用

Asenapine + Pefloxacin

重症度: 中等度

Asenapine and Pefloxacin: moderate interaction.

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概要

Pefloxacin inhibits CYP1A2, the main enzyme metabolizing asenapine, so asenapine exposure may increase. Higher levels could add to sedation, hypotension and QT prolongation, and pefloxacin itself can prolong the QT interval.

この相互作用をわかりやすく説明すると

Asenapine and Pefloxacin 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.

Asenapine belongs to Central Nervous System; Pefloxacin belongs to Anti Bacterial.

エビデンスレベル: Low

なぜ起こるのか

Inhibition of CYP1A2-mediated asenapine metabolism, with possible additive QT prolongation.

対処法

Monitor for sedation, hypotension and QT-related symptoms, and consider an ECG in patients with cardiac risk factors. Choose an antibiotic that does not inhibit CYP1A2 or prolong QT if possible.

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.

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、AsenapineとPefloxacin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 Asenapine with Pefloxacin?

MediHelp rates the interaction as moderate. Asenapine and Pefloxacin 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. Pefloxacin inhibits CYP1A2, the main enzyme metabolizing asenapine, so asenapine exposure may increase. Higher levels could add to sedation, hypotension and QT prolongation, and pefloxacin itself can prolong the QT interval.

How serious is the interaction between Asenapine and Pefloxacin?

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 sedation, hypotension and QT-related symptoms, and consider an ECG in patients with cardiac risk factors. Choose an antibiotic that does not inhibit CYP1A2 or prolong QT if possible.

What other medicines interact with Asenapine?

MediHelp also lists interactions of Asenapine with, for example, Pimozide, Thioridazine, Vandetanib. The full list is on the Asenapine 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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