相互作用
Azilsartan-chlorthalidone + Ethacrynic acid
重症度: 重大
Azilsartan-chlorthalidone and Ethacrynic acid: major interaction.
最終更新日
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概要
Ethacrynic acid is a potent loop diuretic and combining it with a thiazide-like diuretic produces sequential nephron blockade. This can cause profound diuresis with marked hypokalemia, hyponatremia, hypomagnesemia, volume depletion and kidney injury.
この相互作用をわかりやすく説明すると
Azilsartan-chlorthalidone and Ethacrynic acid 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.
Azilsartan-chlorthalidone belongs to Cardiovascular; Ethacrynic acid belongs to Cardiovascular.
なぜ起こるのか
Sequential blockade of sodium reabsorption in the loop of Henle and distal tubule produces synergistic natriuresis and potassium wasting.
対処法
Start with low doses and monitor weight, blood pressure, electrolytes and renal function closely. Replace potassium and magnesium as needed.
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、Azilsartan-chlorthalidoneとEthacrynic acid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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Azilsartan-chlorthalidoneのその他の相互作用
Ethacrynic acidのその他の相互作用
よくある質問
Can I take Azilsartan-chlorthalidone with Ethacrynic acid?
MediHelp rates the interaction as major. Azilsartan-chlorthalidone and Ethacrynic acid 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. Ethacrynic acid is a potent loop diuretic and combining it with a thiazide-like diuretic produces sequential nephron blockade. This can cause profound diuresis with marked hypokalemia, hyponatremia, hypomagnesemia, volume depletion and kidney injury.
How serious is the interaction between Azilsartan-chlorthalidone and Ethacrynic acid?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Start with low doses and monitor weight, blood pressure, electrolytes and renal function closely. Replace potassium and magnesium as needed.
What other medicines interact with Azilsartan-chlorthalidone?
MediHelp also lists interactions of Azilsartan-chlorthalidone with, for example, Aliskiren, Sparsentan, Aceclofenac. The full list is on the Azilsartan-chlorthalidone 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。
