相互作用
Butorphanol + Zuranolone
重症度: 重大
Butorphanol and Zuranolone: major interaction.
最終更新日 出典: US FDA label
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概要
Zuranolone is a neuroactive steroid GABA-A modulator that causes somnolence and impaired driving ability. Taken with butorphanol, CNS depression and psychomotor impairment may be greater.
この相互作用をわかりやすく説明すると
Butorphanol and Zuranolone 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.
Butorphanol belongs to Musculoskeletal; Zuranolone belongs to Central Nervous System.
なぜ起こるのか
Additive pharmacodynamic CNS depression via GABA-A modulation and opioid receptor agonism.
対処法
Avoid if possible; if both are needed, consider lowering the dose of zuranolone or butorphanol. Monitor sedation and respiratory function and counsel against driving.
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?
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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、ButorphanolとZuranolone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
Butorphanolのその他の相互作用
Zuranoloneのその他の相互作用
よくある質問
Can I take Butorphanol with Zuranolone?
MediHelp rates the interaction as major. Butorphanol and Zuranolone 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. Zuranolone is a neuroactive steroid GABA-A modulator that causes somnolence and impaired driving ability. Taken with butorphanol, CNS depression and psychomotor impairment may be greater.
How serious is the interaction between Butorphanol and Zuranolone?
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 if possible; if both are needed, consider lowering the dose of zuranolone or butorphanol. Monitor sedation and respiratory function and counsel against driving.
What other medicines interact with Butorphanol?
MediHelp also lists interactions of Butorphanol with, for example, Olanzapine / samidorphan, Sodium oxybate, Alfentanil. The full list is on the Butorphanol 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。
