相互作用
Clozapine + Oxybutynin
重症度: 重大
Clozapine and Oxybutynin: major interaction.
最終更新日
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概要
Clozapine is highly anticholinergic, and combining it with oxybutynin raises the risk of constipation, which can progress to serious bowel hypomotility or ileus, as well as urinary retention, tachycardia and delirium. Clozapine-related gastrointestinal complications can be severe.
この相互作用をわかりやすく説明すると
Clozapine and Oxybutynin 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; Oxybutynin belongs to Genitourinary.
なぜ起こるのか
Additive antimuscarinic effects on gut, bladder and central nervous system.
対処法
Avoid the combination where possible; if used, monitor bowel function closely and give laxatives proactively. Reassess the need for oxybutynin and consider non-anticholinergic options for urinary symptoms.
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Oxybutynin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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Oxybutyninのその他の相互作用
Clozapineのその他の相互作用
よくある質問
Can I take Clozapine with Oxybutynin?
MediHelp rates the interaction as major. Clozapine and Oxybutynin 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 is highly anticholinergic, and combining it with oxybutynin raises the risk of constipation, which can progress to serious bowel hypomotility or ileus, as well as urinary retention, tachycardia and delirium. Clozapine-related gastrointestinal complications can be severe.
How serious is the interaction between Clozapine and Oxybutynin?
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; if used, monitor bowel function closely and give laxatives proactively. Reassess the need for oxybutynin and consider non-anticholinergic options for urinary symptoms.
What other medicines interact with Oxybutynin?
MediHelp also lists interactions of Oxybutynin with, for example, Bethanechol, Potassium chloride, Rivastigmine. The full list is on the Oxybutynin 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。
