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相互作用

Belladonna and opium + Diazepam

重症度: 重大

Belladonna and opium and Diazepam: 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

Belladonna and opium suppositories contain an opioid, so combination with diazepam increases the risk of profound sedation, respiratory depression, coma and death. Opioid labeling carries a boxed warning for concomitant benzodiazepine use.

この相互作用をわかりやすく説明すると

Belladonna and opium and Diazepam 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.

エビデンスレベル: High

なぜ起こるのか

Additive CNS and respiratory depression via opioid and GABA-A receptor activity.

対処法

Avoid combining where possible, or use the lowest doses for the shortest time with close monitoring of sedation and breathing. Counsel patients and caregivers about warning signs.

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?

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

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、Belladonna and opiumとDiazepam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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よくある質問

Can I take Belladonna and opium with Diazepam?

MediHelp rates the interaction as major. Belladonna and opium and Diazepam 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. Belladonna and opium suppositories contain an opioid, so combination with diazepam increases the risk of profound sedation, respiratory depression, coma and death. Opioid labeling carries a boxed warning for concomitant benzodiazepine use.

How serious is the interaction between Belladonna and opium and Diazepam?

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 combining where possible, or use the lowest doses for the shortest time with close monitoring of sedation and breathing. Counsel patients and caregivers about warning signs.

What other medicines interact with Diazepam?

MediHelp also lists interactions of Diazepam with, for example, Calcium / magnesium / potassium / sodium oxybates, Alfentanil, Alprazolam. The full list is on the Diazepam 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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