相互作用
Belladonna and opium + Brompheniramine
重症度: 重大
Belladonna and opium and Brompheniramine: major interaction.
最終更新日 出典: US FDA label
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概要
Opium causes sedation and respiratory depression, and belladonna adds anticholinergic effects. Brompheniramine adds both sedative and anticholinergic burden, raising the risks of oversedation, constipation, urinary retention and confusion.
この相互作用をわかりやすく説明すると
Belladonna and opium and Brompheniramine 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.
なぜ起こるのか
Additive CNS and respiratory depression from opioid agonism and H1 antagonism, plus additive anticholinergic effects.
対処法
Use the lowest effective doses and monitor sedation, respiratory rate and bowel and bladder function. Avoid in patients at risk of respiratory depression.
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
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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、Belladonna and opiumとBrompheniramine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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参考文献
Brompheniramineのその他の相互作用
よくある質問
Can I take Belladonna and opium with Brompheniramine?
MediHelp rates the interaction as major. Belladonna and opium and Brompheniramine 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. Opium causes sedation and respiratory depression, and belladonna adds anticholinergic effects. Brompheniramine adds both sedative and anticholinergic burden, raising the risks of oversedation, constipation, urinary retention and confusion.
How serious is the interaction between Belladonna and opium and Brompheniramine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective doses and monitor sedation, respiratory rate and bowel and bladder function. Avoid in patients at risk of respiratory depression.
What other medicines interact with Brompheniramine?
MediHelp also lists interactions of Brompheniramine with, for example, Alfentanil, Benzhydrocodone / acetaminophen, Calcium / magnesium / potassium / sodium oxybates. The full list is on the Brompheniramine 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。
