相互作用
Benzhydrocodone / acetaminophen + Esketamine
重症度: 重大
Benzhydrocodone / acetaminophen and Esketamine: major interaction.
最終更新日 出典: EMA SmPC
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概要
Benzhydrocodone is a prodrug of hydrocodone, an opioid. With esketamine, risks of profound sedation and respiratory depression increase.
この相互作用をわかりやすく説明すると
Benzhydrocodone / acetaminophen and Esketamine 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 between an opioid and esketamine.
対処法
Avoid unnecessary co-use; if required, use the lowest effective opioid dose and monitor sedation and respiratory rate after esketamine administration.
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、Benzhydrocodone / acetaminophenとEsketamine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
Esketamineのその他の相互作用
よくある質問
Can I take Benzhydrocodone / acetaminophen with Esketamine?
MediHelp rates the interaction as major. Benzhydrocodone / acetaminophen and Esketamine 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. Benzhydrocodone is a prodrug of hydrocodone, an opioid. With esketamine, risks of profound sedation and respiratory depression increase.
How serious is the interaction between Benzhydrocodone / acetaminophen and Esketamine?
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 unnecessary co-use; if required, use the lowest effective opioid dose and monitor sedation and respiratory rate after esketamine administration.
What other medicines interact with Esketamine?
MediHelp also lists interactions of Esketamine with, for example, Alfentanil, Amobarbital, Belladonna and opium. The full list is on the Esketamine 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。
