相互作用
Citalopram + Givinostat
重症度: 重大
Citalopram and Givinostat: 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
Givinostat and citalopram both lengthen the QTc interval, raising the likelihood of torsades de pointes. The risk is greater with electrolyte disturbance or underlying heart disease.
この相互作用をわかりやすく説明すると
Citalopram 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.
Citalopram belongs to Central Nervous System; Givinostat belongs to Miscellaneous.
なぜ起こるのか
Additive prolongation of cardiac repolarization.
対処法
Avoid if possible; otherwise obtain ECGs at initiation and during treatment and correct potassium and magnesium. Hold the drugs 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、Citalopram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
WebでPro+を7日間無料でお試し。カード登録不要。
Citalopram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 Citalopram with Givinostat?
MediHelp rates the interaction as major. Citalopram 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. Givinostat and citalopram both lengthen the QTc interval, raising the likelihood of torsades de pointes. The risk is greater with electrolyte disturbance or underlying heart disease.
How serious is the interaction between Citalopram 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; otherwise obtain ECGs at initiation and during treatment and correct potassium and magnesium. Hold the drugs if QTc exceeds 500 ms or rises markedly from baseline.
What other medicines interact with Citalopram?
MediHelp also lists interactions of Citalopram with, for example, Cisapride, Dronedarone, Escitalopram. The full list is on the Citalopram 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。
