相互作用
Clomipramine + Pefloxacin
重症度: 中等度
Clomipramine and Pefloxacin: moderate interaction.
最終更新日
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概要
Pefloxacin inhibits CYP1A2, one of the pathways metabolising clomipramine, so levels may rise and cause tricyclic adverse effects. Fluoroquinolones can also prolong the QT interval and lower the seizure threshold.
この相互作用をわかりやすく説明すると
Clomipramine and Pefloxacin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Clomipramine belongs to Central Nervous System; Pefloxacin belongs to Anti Bacterial.
なぜ起こるのか
CYP1A2 inhibition by pefloxacin reduces clomipramine clearance, with additive QT and seizure-threshold effects.
対処法
Monitor for anticholinergic, cardiac and neurological toxicity and consider an ECG; choose a non-quinolone antibiotic if possible.
薬剤師に尋ねること
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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、ClomipramineとPefloxacin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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Clomipramineのその他の相互作用
Pefloxacinのその他の相互作用
よくある質問
Can I take Clomipramine with Pefloxacin?
MediHelp rates the interaction as moderate. Clomipramine and Pefloxacin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Pefloxacin inhibits CYP1A2, one of the pathways metabolising clomipramine, so levels may rise and cause tricyclic adverse effects. Fluoroquinolones can also prolong the QT interval and lower the seizure threshold.
How serious is the interaction between Clomipramine and Pefloxacin?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for anticholinergic, cardiac and neurological toxicity and consider an ECG; choose a non-quinolone antibiotic if possible.
What other medicines interact with Clomipramine?
MediHelp also lists interactions of Clomipramine with, for example, Arsenic trioxide, Dofetilide, Droperidol. The full list is on the Clomipramine 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。
