相互作用
Buprenorphine + Eluxadoline
重症度: 重大
Buprenorphine and Eluxadoline: major interaction.
最終更新日
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概要
Eluxadoline is a mu-opioid agonist used for diarrhea-predominant IBS and can cause severe constipation and pancreatitis-related events. Adding buprenorphine, which also slows gut transit, increases the risk of serious constipation and related complications.
この相互作用をわかりやすく説明すると
Buprenorphine and Eluxadoline 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.
Buprenorphine belongs to Musculoskeletal; Eluxadoline belongs to Gastrointestinal Tract.
なぜ起こるのか
Additive opioid-receptor mediated reduction in gastrointestinal motility.
対処法
Avoid combining where possible; the eluxadoline label advises against use with other drugs that cause constipation. If both are required, monitor bowel function closely and stop eluxadoline if severe constipation develops.
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、BuprenorphineとEluxadoline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
Eluxadolineのその他の相互作用
よくある質問
Can I take Buprenorphine with Eluxadoline?
MediHelp rates the interaction as major. Buprenorphine and Eluxadoline 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. Eluxadoline is a mu-opioid agonist used for diarrhea-predominant IBS and can cause severe constipation and pancreatitis-related events. Adding buprenorphine, which also slows gut transit, increases the risk of serious constipation and related complications.
How serious is the interaction between Buprenorphine and Eluxadoline?
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; the eluxadoline label advises against use with other drugs that cause constipation. If both are required, monitor bowel function closely and stop eluxadoline if severe constipation develops.
What other medicines interact with Buprenorphine?
MediHelp also lists interactions of Buprenorphine with, for example, Alvimopan, Calcium / magnesium / potassium / sodium oxybates, Olanzapine / samidorphan. 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。
