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相互作用

Carbidopa-entacapone-levodopa + Ferric maltol

重症度: 中等度

Carbidopa-entacapone-levodopa and Ferric maltol: moderate interaction.

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概要

Oral iron binds levodopa and entacapone in the gut, forming chelates that reduce absorption. This can lessen levodopa effect and lead to worsening of Parkinson symptoms. Entacapone also chelates iron, which may reduce iron uptake.

この相互作用をわかりやすく説明すると

Carbidopa-entacapone-levodopa and Ferric maltol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Carbidopa-entacapone-levodopa belongs to Central Nervous System; Ferric maltol belongs to Miscellaneous.

エビデンスレベル: Moderate

なぜ起こるのか

Chelation of levodopa and entacapone by ferric iron in the gastrointestinal tract reduces absorption.

対処法

Separate oral ferric maltol from the levodopa combination by at least 2 hours. Monitor motor symptoms and iron indices.

薬剤師に尋ねること

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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  • Additional notes
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  • Interaction checker for a whole prescription

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よくある質問

Can I take Carbidopa-entacapone-levodopa with Ferric maltol?

MediHelp rates the interaction as moderate. Carbidopa-entacapone-levodopa and Ferric maltol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Oral iron binds levodopa and entacapone in the gut, forming chelates that reduce absorption. This can lessen levodopa effect and lead to worsening of Parkinson symptoms. Entacapone also chelates iron, which may reduce iron uptake.

How serious is the interaction between Carbidopa-entacapone-levodopa and Ferric maltol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Separate oral ferric maltol from the levodopa combination by at least 2 hours. Monitor motor symptoms and iron indices.

What other medicines interact with Carbidopa-entacapone-levodopa?

MediHelp also lists interactions of Carbidopa-entacapone-levodopa with, for example, Isocarboxazid, Phenelzine, Selegiline transdermal. The full list is on the Carbidopa-entacapone-levodopa page.

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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。

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