相互作用
Bedaquiline + Loperamide
重症度: 重大
Bedaquiline and Loperamide: major interaction.
最終更新日
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概要
Bedaquiline prolongs the QT interval and loperamide may add to this at high doses. The risk of torsades de pointes is increased.
この相互作用をわかりやすく説明すると
Bedaquiline and Loperamide 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.
Bedaquiline belongs to Anti Bacterial; Loperamide belongs to Gastrointestinal Tract.
なぜ起こるのか
Additive QT prolongation via hERG channel inhibition.
対処法
Avoid excess loperamide dosing and monitor ECG regularly during bedaquiline therapy. Correct electrolytes.
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、BedaquilineとLoperamide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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Loperamideのその他の相互作用
Bedaquilineのその他の相互作用
よくある質問
Can I take Bedaquiline with Loperamide?
MediHelp rates the interaction as major. Bedaquiline and Loperamide 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. Bedaquiline prolongs the QT interval and loperamide may add to this at high doses. The risk of torsades de pointes is increased.
How serious is the interaction between Bedaquiline and Loperamide?
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 excess loperamide dosing and monitor ECG regularly during bedaquiline therapy. Correct electrolytes.
What other medicines interact with Loperamide?
MediHelp also lists interactions of Loperamide with, for example, Amiodarone, Amisulpride, Anagrelide. The full list is on the Loperamide 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。
