相互作用
Clozapine + Methimazole
重症度: 重大
Clozapine and Methimazole: 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 drugs can cause agranulocytosis, and using them together may increase the risk of serious neutropenia and infection.
この相互作用をわかりやすく説明すると
Clozapine and Methimazole 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.
Clozapine belongs to Central Nervous System; Methimazole belongs to Endocrine.
なぜ起こるのか
Additive risk of bone marrow suppression and immune-mediated agranulocytosis.
対処法
Avoid the combination where possible, for example by using radioiodine or another treatment for hyperthyroidism. If used, monitor the absolute neutrophil count closely and stop for neutropenia.
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、ClozapineとMethimazole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。
Clozapineのその他の相互作用
Methimazoleのその他の相互作用
よくある質問
Can I take Clozapine with Methimazole?
MediHelp rates the interaction as major. Clozapine and Methimazole 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 drugs can cause agranulocytosis, and using them together may increase the risk of serious neutropenia and infection.
How serious is the interaction between Clozapine and Methimazole?
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, for example by using radioiodine or another treatment for hyperthyroidism. If used, monitor the absolute neutrophil count closely and stop for neutropenia.
What other medicines interact with Clozapine?
MediHelp also lists interactions of Clozapine with, for example, Deferiprone, Irinotecan, Pimozide. The full list is on the Clozapine 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。
