相互作用
Clozapine + Tolterodine
重症度: 重大
Clozapine and Tolterodine: major interaction.
最終更新日
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概要
Clozapine has strong antimuscarinic activity, and combining it with tolterodine raises the risk of severe constipation, paralytic ileus, urinary retention, tachycardia and delirium. Clozapine-related gastrointestinal hypomotility can be dangerous.
この相互作用をわかりやすく説明すると
Clozapine and Tolterodine 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; Tolterodine belongs to Genitourinary.
なぜ起こるのか
Additive antimuscarinic pharmacodynamic effects.
対処法
Avoid the combination if possible, or monitor bowel function closely and treat constipation early. Consider non-anticholinergic options for overactive bladder, such as a beta-3 agonist.
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Tolterodine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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Tolterodine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 Tolterodine?
MediHelp rates the interaction as major. Clozapine and Tolterodine 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 has strong antimuscarinic activity, and combining it with tolterodine raises the risk of severe constipation, paralytic ileus, urinary retention, tachycardia and delirium. Clozapine-related gastrointestinal hypomotility can be dangerous.
How serious is the interaction between Clozapine and Tolterodine?
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 if possible, or monitor bowel function closely and treat constipation early. Consider non-anticholinergic options for overactive bladder, such as a beta-3 agonist.
What other medicines interact with Tolterodine?
MediHelp also lists interactions of Tolterodine with, for example, Clarithromycin, Cobicistat, Dronedarone. The full list is on the Tolterodine 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。
