相互作用
Chlorpromazine + Givinostat
重症度: 重大
Chlorpromazine and Givinostat: major interaction.
最終更新日
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概要
Both agents can lengthen the QTc interval, so concurrent use increases the likelihood of torsade de pointes. The risk is amplified by electrolyte abnormalities or cardiac disease.
この相互作用をわかりやすく説明すると
Chlorpromazine and Givinostat 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.
Chlorpromazine belongs to Central Nervous System; Givinostat belongs to Miscellaneous.
なぜ起こるのか
Additive QT prolongation through effects on cardiac repolarization.
対処法
Avoid if possible. If coadministration is necessary, obtain ECGs at initiation and during use, and withhold givinostat if QTc exceeds 500 ms or rises markedly from baseline.
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、ChlorpromazineとGivinostat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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Chlorpromazineのその他の相互作用
Givinostatのその他の相互作用
よくある質問
Can I take Chlorpromazine with Givinostat?
MediHelp rates the interaction as major. Chlorpromazine and Givinostat 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. Both agents can lengthen the QTc interval, so concurrent use increases the likelihood of torsade de pointes. The risk is amplified by electrolyte abnormalities or cardiac disease.
How serious is the interaction between Chlorpromazine and Givinostat?
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 coadministration is necessary, obtain ECGs at initiation and during use, and withhold givinostat if QTc exceeds 500 ms or rises markedly from baseline.
What other medicines interact with Chlorpromazine?
MediHelp also lists interactions of Chlorpromazine with, for example, Dofetilide, Dronedarone, Droperidol. The full list is on the Chlorpromazine 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。
