相互作用
Atracurium + Polymyxin b
重症度: 重大
Atracurium and Polymyxin b: major interaction.
最終更新日
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概要
Parenteral polymyxin B has neuromuscular blocking activity and can potentiate nondepolarizing blockers, producing prolonged paralysis and respiratory failure. The effect may be resistant to reversal with anticholinesterases.
この相互作用をわかりやすく説明すると
Atracurium and Polymyxin b 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.
Atracurium belongs to Musculoskeletal; Polymyxin b belongs to Anti Bacterial.
なぜ起こるのか
Polymyxin B impairs neuromuscular transmission through pre- and postsynaptic effects, adding to atracurium blockade.
対処法
Avoid concurrent use when possible; otherwise lower atracurium doses, monitor with train-of-four and keep ventilatory support available. Check calcium levels.
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、AtracuriumとPolymyxin b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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Atracuriumのその他の相互作用
Polymyxin bのその他の相互作用
よくある質問
Can I take Atracurium with Polymyxin b?
MediHelp rates the interaction as major. Atracurium and Polymyxin b 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. Parenteral polymyxin B has neuromuscular blocking activity and can potentiate nondepolarizing blockers, producing prolonged paralysis and respiratory failure. The effect may be resistant to reversal with anticholinesterases.
How serious is the interaction between Atracurium and Polymyxin b?
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 concurrent use when possible; otherwise lower atracurium doses, monitor with train-of-four and keep ventilatory support available. Check calcium levels.
What other medicines interact with Atracurium?
MediHelp also lists interactions of Atracurium with, for example, Amikacin, Bacitracin-neomycin-polymyxin, Benzhydrocodone / acetaminophen. The full list is on the Atracurium 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。
