相互作用
Azelastine + Methadone
重症度: 重大
Azelastine and Methadone: major interaction.
最終更新日
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
概要
Azelastine may intensify methadone-related sedation and respiratory depression. Methadone has a long, variable half-life, so excess CNS depression can emerge and persist.
この相互作用をわかりやすく説明すると
Azelastine and Methadone 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.
Azelastine belongs to Respiratory; Methadone belongs to Musculoskeletal.
なぜ起こるのか
Additive CNS and respiratory depression from H1-antagonist sedation and mu-opioid agonism.
対処法
Monitor sedation and respiratory status, particularly at initiation and dose changes. Avoid other CNS depressants and consider a non-sedating antihistamine alternative.
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、AzelastineとMethadone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7日間無料でお試し。カード登録不要。
Azelastineのその他の相互作用
Methadoneのその他の相互作用
よくある質問
Can I take Azelastine with Methadone?
MediHelp rates the interaction as major. Azelastine and Methadone 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. Azelastine may intensify methadone-related sedation and respiratory depression. Methadone has a long, variable half-life, so excess CNS depression can emerge and persist.
How serious is the interaction between Azelastine and Methadone?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor sedation and respiratory status, particularly at initiation and dose changes. Avoid other CNS depressants and consider a non-sedating antihistamine alternative.
What other medicines interact with Azelastine?
MediHelp also lists interactions of Azelastine with, for example, Calcium / magnesium / potassium / sodium oxybates, Sodium oxybate, Alfentanil. The full list is on the Azelastine 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。
