相互作用
Chlorothiazide + Lithium
重症度: 重大
Chlorothiazide and Lithium: major interaction.
最終更新日
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概要
Thiazide diuretics reduce renal lithium clearance and can raise serum lithium, leading to toxicity with tremor, confusion, vomiting and ataxia.
この相互作用をわかりやすく説明すると
Chlorothiazide and Lithium 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.
Chlorothiazide belongs to Cardiovascular; Lithium belongs to Central Nervous System.
なぜ起こるのか
Thiazide-induced sodium depletion increases proximal tubular reabsorption of lithium.
対処法
Avoid if possible. If used, reduce the lithium dose and monitor serum lithium closely after starting, with attention to sodium and renal function.
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、ChlorothiazideとLithium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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Lithiumのその他の相互作用
Chlorothiazideのその他の相互作用
よくある質問
Can I take Chlorothiazide with Lithium?
MediHelp rates the interaction as major. Chlorothiazide and Lithium 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. Thiazide diuretics reduce renal lithium clearance and can raise serum lithium, leading to toxicity with tremor, confusion, vomiting and ataxia.
How serious is the interaction between Chlorothiazide and Lithium?
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 used, reduce the lithium dose and monitor serum lithium closely after starting, with attention to sodium and renal function.
What other medicines interact with Lithium?
MediHelp also lists interactions of Lithium with, for example, Thioridazine, Vandetanib, Aceclofenac. The full list is on the Lithium 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。
