相互作用
Chlorothiazide + Sotalol
重症度: 重大
Chlorothiazide and Sotalol: major interaction.
最終更新日
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概要
Thiazide diuretics can cause hypokalemia and hypomagnesemia. These electrolyte disturbances increase the risk of QT prolongation and torsade de pointes with sotalol.
この相互作用をわかりやすく説明すると
Chlorothiazide and Sotalol 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; Sotalol belongs to Cardiovascular.
なぜ起こるのか
Diuretic-induced hypokalemia and hypomagnesemia potentiate sotalol's QT-prolonging effect.
対処法
Check potassium and magnesium before and during therapy, replace deficits, and monitor the ECG for QTc prolongation.
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Sotalol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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Sotalol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 Sotalol?
MediHelp rates the interaction as major. Chlorothiazide and Sotalol 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 can cause hypokalemia and hypomagnesemia. These electrolyte disturbances increase the risk of QT prolongation and torsade de pointes with sotalol.
How serious is the interaction between Chlorothiazide and Sotalol?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check potassium and magnesium before and during therapy, replace deficits, and monitor the ECG for QTc prolongation.
What other medicines interact with Sotalol?
MediHelp also lists interactions of Sotalol with, for example, Arsenic trioxide, Artemether / lumefantrine, Disopyramide. The full list is on the Sotalol 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。
