相互作用
Dantrolene + Dextromoramide
重症度: 重大
Dantrolene and Dextromoramide: major interaction.
最終更新日
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概要
Dextromoramide is a potent opioid analgesic that causes sedation and respiratory depression, and dantrolene adds drowsiness and muscle weakness. Together they may increase the risk of excessive sedation and impaired breathing, particularly in frail patients or at higher doses.
この相互作用をわかりやすく説明すると
Dantrolene and Dextromoramide 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.
なぜ起こるのか
Additive CNS depression from opioid action combined with dantrolene sedation and muscle weakness.
対処法
Start with the lowest effective opioid dose and titrate slowly while monitoring sedation and respiratory rate. Counsel patients to avoid driving and other CNS depressants.
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、DantroleneとDextromoramide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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Dantroleneのその他の相互作用
よくある質問
Can I take Dantrolene with Dextromoramide?
MediHelp rates the interaction as major. Dantrolene and Dextromoramide 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. Dextromoramide is a potent opioid analgesic that causes sedation and respiratory depression, and dantrolene adds drowsiness and muscle weakness. Together they may increase the risk of excessive sedation and impaired breathing, particularly in frail patients or at higher doses.
How serious is the interaction between Dantrolene and Dextromoramide?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Start with the lowest effective opioid dose and titrate slowly while monitoring sedation and respiratory rate. Counsel patients to avoid driving and other CNS depressants.
What other medicines interact with Dantrolene?
MediHelp also lists interactions of Dantrolene with, for example, Benzhydrocodone / acetaminophen, Buprenorphine long-acting, Buprenorphine subdermal implant. The full list is on the Dantrolene 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。
