相互作用
Buprenorphine + Calcium / magnesium / potassium / sodium oxybates
重症度: 併用禁忌
Buprenorphine and Calcium / magnesium / potassium / sodium oxybates: contraindicated interaction.
最終更新日
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概要
Oxybates are potent CNS depressants, and combining them with opioids can cause profound sedation, respiratory depression, coma and death. Labeling for oxybates restricts co-use with other CNS depressants.
この相互作用をわかりやすく説明すると
Buprenorphine and Calcium / magnesium / potassium / sodium oxybates are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
なぜ起こるのか
Additive CNS and respiratory depression via GABA-B/GHB receptor agonism and mu-opioid agonism.
対処法
Avoid the combination. If an opioid is unavoidable, consider interrupting oxybate treatment, and monitor closely for respiratory depression.
薬剤師に尋ねること
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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、BuprenorphineとCalcium / magnesium / potassium / sodium oxybates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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Buprenorphineのその他の相互作用
よくある質問
Can I take Buprenorphine with Calcium / magnesium / potassium / sodium oxybates?
MediHelp rates the interaction as contraindicated. Buprenorphine and Calcium / magnesium / potassium / sodium oxybates are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Oxybates are potent CNS depressants, and combining them with opioids can cause profound sedation, respiratory depression, coma and death. Labeling for oxybates restricts co-use with other CNS depressants.
How serious is the interaction between Buprenorphine and Calcium / magnesium / potassium / sodium oxybates?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination. If an opioid is unavoidable, consider interrupting oxybate treatment, and monitor closely for respiratory depression.
What other medicines interact with Buprenorphine?
MediHelp also lists interactions of Buprenorphine with, for example, Alvimopan, Olanzapine / samidorphan, Phenelzine. The full list is on the Buprenorphine 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。
