相互作用
Cisapride + Citalopram
重症度: 併用禁忌
Cisapride and Citalopram: contraindicated interaction.
最終更新日
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概要
Citalopram causes dose-related QT prolongation and cisapride has a well-known risk of ventricular arrhythmia. Together they increase the chance of torsades de pointes.
この相互作用をわかりやすく説明すると
Cisapride and Citalopram are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Cisapride belongs to Gastrointestinal Tract; Citalopram belongs to Central Nervous System.
なぜ起こるのか
Additive prolongation of ventricular repolarization through hERG potassium channel inhibition.
対処法
Avoid concurrent use and choose an alternative to cisapride or a less QT-active antidepressant such as sertraline. If unavoidable, monitor the ECG and keep potassium and magnesium normal.
薬剤師に尋ねること
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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、CisaprideとCitalopram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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Cisaprideのその他の相互作用
Citalopramのその他の相互作用
よくある質問
Can I take Cisapride with Citalopram?
MediHelp rates the interaction as contraindicated. Cisapride and Citalopram are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Citalopram causes dose-related QT prolongation and cisapride has a well-known risk of ventricular arrhythmia. Together they increase the chance of torsades de pointes.
How serious is the interaction between Cisapride and Citalopram?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use and choose an alternative to cisapride or a less QT-active antidepressant such as sertraline. If unavoidable, monitor the ECG and keep potassium and magnesium normal.
What other medicines interact with Cisapride?
MediHelp also lists interactions of Cisapride with, for example, Apomorphine, Artemether, Azithromycin. The full list is on the Cisapride 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。
