相互作用
Cilostazol + Milrinone
重症度: 重大
Cilostazol and Milrinone: major interaction.
最終更新日
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
概要
Both are PDE3 inhibitors, and combining them may amplify vasodilation, tachycardia and ventricular arrhythmia risk. Cilostazol is contraindicated in heart failure of any severity, which is the usual setting for milrinone.
この相互作用をわかりやすく説明すると
Cilostazol and Milrinone 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.
Cilostazol belongs to Cardiovascular; Milrinone belongs to Cardiovascular.
なぜ起こるのか
Additive phosphodiesterase 3 inhibition.
対処法
Avoid concomitant use; hold cilostazol while milrinone is being given and monitor ECG and blood pressure.
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、CilostazolとMilrinone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
WebでPro+を14日間無料でお試し。カード登録不要。
Milrinoneのその他の相互作用
Cilostazolのその他の相互作用
よくある質問
Can I take Cilostazol with Milrinone?
MediHelp rates the interaction as major. Cilostazol and Milrinone 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 are PDE3 inhibitors, and combining them may amplify vasodilation, tachycardia and ventricular arrhythmia risk. Cilostazol is contraindicated in heart failure of any severity, which is the usual setting for milrinone.
How serious is the interaction between Cilostazol and Milrinone?
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 concomitant use; hold cilostazol while milrinone is being given and monitor ECG and blood pressure.
What other medicines interact with Milrinone?
MediHelp also lists interactions of Milrinone with, for example, Anagrelide, Enoximone, Inamrinone. The full list is on the Milrinone 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。
