相互作用
Benztropine + Memantine-donepezil
重症度: 重大
Benztropine and Memantine-donepezil: major interaction.
最終更新日
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概要
Benztropine is a strongly anticholinergic drug that opposes donepezil's cholinergic effect, and it can worsen confusion and memory in dementia. Donepezil may in turn reduce benztropine's control of parkinsonism.
この相互作用をわかりやすく説明すると
Benztropine and Memantine-donepezil 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.
Benztropine belongs to Central Nervous System; Memantine-donepezil belongs to Central Nervous System.
なぜ起こるのか
Pharmacodynamic antagonism between a muscarinic antagonist and a cholinesterase inhibitor.
対処法
Avoid anticholinergic antiparkinson agents in dementia where possible and consider alternative treatment for extrapyramidal symptoms. If used, monitor cognition.
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、BenztropineとMemantine-donepezil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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Memantine-donepezilのその他の相互作用
Benztropineのその他の相互作用
よくある質問
Can I take Benztropine with Memantine-donepezil?
MediHelp rates the interaction as major. Benztropine and Memantine-donepezil 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. Benztropine is a strongly anticholinergic drug that opposes donepezil's cholinergic effect, and it can worsen confusion and memory in dementia. Donepezil may in turn reduce benztropine's control of parkinsonism.
How serious is the interaction between Benztropine and Memantine-donepezil?
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 anticholinergic antiparkinson agents in dementia where possible and consider alternative treatment for extrapyramidal symptoms. If used, monitor cognition.
What other medicines interact with Memantine-donepezil?
MediHelp also lists interactions of Memantine-donepezil with, for example, Dronedarone, Thioridazine, Amantadine. The full list is on the Memantine-donepezil 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。
