相互作用
Brexpiprazole + Oliceridine
重症度: 重大
Brexpiprazole and Oliceridine: major interaction.
最終更新日 出典: EMA SmPC
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概要
Oliceridine is an intravenous opioid and brexpiprazole is a sedating antipsychotic, so together they can cause profound sedation, hypotension and respiratory depression. Opioid labeling warns of this with other CNS depressants.
この相互作用をわかりやすく説明すると
Brexpiprazole and Oliceridine 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.
Brexpiprazole belongs to Central Nervous System; Oliceridine belongs to Musculoskeletal.
なぜ起こるのか
Additive CNS and respiratory depression from opioid agonism and antipsychotic sedative effects.
対処法
Use the lowest effective oliceridine dose and shortest duration, and monitor sedation, respiratory rate and oxygen saturation. Reduce doses if excessive sedation occurs.
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、BrexpiprazoleとOliceridine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
Brexpiprazoleのその他の相互作用
Oliceridineのその他の相互作用
よくある質問
Can I take Brexpiprazole with Oliceridine?
MediHelp rates the interaction as major. Brexpiprazole and Oliceridine 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. Oliceridine is an intravenous opioid and brexpiprazole is a sedating antipsychotic, so together they can cause profound sedation, hypotension and respiratory depression. Opioid labeling warns of this with other CNS depressants.
How serious is the interaction between Brexpiprazole and Oliceridine?
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 oliceridine dose and shortest duration, and monitor sedation, respiratory rate and oxygen saturation. Reduce doses if excessive sedation occurs.
What other medicines interact with Brexpiprazole?
MediHelp also lists interactions of Brexpiprazole with, for example, Alfentanil, Amisulpride, Apalutamide. The full list is on the Brexpiprazole 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。
