相互作用
Clomipramine + Umeclidinium-vilanterol
重症度: 重大
Clomipramine and Umeclidinium-vilanterol: major interaction.
最終更新日 出典: US FDA label
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概要
Tricyclic antidepressants can potentiate the cardiovascular effects of beta-agonists such as vilanterol, causing tachycardia, hypertension and arrhythmia. Clomipramine also prolongs QT and has anticholinergic effects that may add to umeclidinium.
この相互作用をわかりやすく説明すると
Clomipramine and Umeclidinium-vilanterol 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.
Clomipramine belongs to Central Nervous System; Umeclidinium-vilanterol belongs to Respiratory.
なぜ起こるのか
Additive adrenergic cardiovascular stimulation and QT prolongation, with additive anticholinergic effects.
対処法
Avoid the combination where possible, or use with close monitoring of heart rate, blood pressure and ECG. Watch for anticholinergic effects such as urinary retention and dry mouth.
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、ClomipramineとUmeclidinium-vilanterol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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参考文献
Umeclidinium-vilanterolのその他の相互作用
Clomipramineのその他の相互作用
よくある質問
Can I take Clomipramine with Umeclidinium-vilanterol?
MediHelp rates the interaction as major. Clomipramine and Umeclidinium-vilanterol 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. Tricyclic antidepressants can potentiate the cardiovascular effects of beta-agonists such as vilanterol, causing tachycardia, hypertension and arrhythmia. Clomipramine also prolongs QT and has anticholinergic effects that may add to umeclidinium.
How serious is the interaction between Clomipramine and Umeclidinium-vilanterol?
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 the combination where possible, or use with close monitoring of heart rate, blood pressure and ECG. Watch for anticholinergic effects such as urinary retention and dry mouth.
What other medicines interact with Umeclidinium-vilanterol?
MediHelp also lists interactions of Umeclidinium-vilanterol with, for example, Aclidinium, Amiodarone, Amitriptyline. The full list is on the Umeclidinium-vilanterol 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。
