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相互作用

Azithromycin + Pimozide

重症度: 併用禁忌

Azithromycin and Pimozide: contraindicated interaction.

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概要

Azithromycin can prolong the QT interval, and pimozide is a drug with a narrow margin in which QT lengthening and torsades have occurred. Azithromycin is a weaker CYP3A4 inhibitor than other macrolides, but the pharmacodynamic risk remains.

この相互作用をわかりやすく説明すると

Azithromycin and Pimozide are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Azithromycin belongs to Anti Bacterial; Pimozide belongs to Central Nervous System.

エビデンスレベル: Moderate

なぜ起こるのか

Additive QTc prolongation

対処法

Avoid; use a non-QT-prolonging antibiotic during pimozide therapy.

薬剤師に尋ねること

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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アカウントを作成してPro+トライアルを始めると、AzithromycinとPimozide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。

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  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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よくある質問

Can I take Azithromycin with Pimozide?

MediHelp rates the interaction as contraindicated. Azithromycin and Pimozide are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Azithromycin can prolong the QT interval, and pimozide is a drug with a narrow margin in which QT lengthening and torsades have occurred. Azithromycin is a weaker CYP3A4 inhibitor than other macrolides, but the pharmacodynamic risk remains.

How serious is the interaction between Azithromycin and Pimozide?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid; use a non-QT-prolonging antibiotic during pimozide therapy.

What other medicines interact with Azithromycin?

MediHelp also lists interactions of Azithromycin with, for example, Cisapride, Domperidone, Dronedarone. The full list is on the Azithromycin 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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