相互作用
Dexamethasone-tobramycin + Glycerol phenylbutyrate
重症度: 中等度
Dexamethasone-tobramycin and Glycerol phenylbutyrate: moderate 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
Corticosteroids promote protein catabolism and can raise plasma ammonia, opposing the ammonia-lowering effect of glycerol phenylbutyrate in urea cycle disorders. The concern is mainly with systemic dexamethasone.
この相互作用をわかりやすく説明すると
Dexamethasone-tobramycin and Glycerol phenylbutyrate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Dexamethasone-tobramycin belongs to Anti Bacterial; Glycerol phenylbutyrate belongs to Miscellaneous.
なぜ起こるのか
Corticosteroid-induced protein breakdown increases nitrogen load and ammonia.
対処法
Monitor plasma ammonia closely if systemic corticosteroids are used and adjust the phenylbutyrate dose as needed.
薬剤師に尋ねること
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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、Dexamethasone-tobramycinとGlycerol phenylbutyrate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。
Dexamethasone-tobramycinのその他の相互作用
Glycerol phenylbutyrateのその他の相互作用
よくある質問
Can I take Dexamethasone-tobramycin with Glycerol phenylbutyrate?
MediHelp rates the interaction as moderate. Dexamethasone-tobramycin and Glycerol phenylbutyrate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Corticosteroids promote protein catabolism and can raise plasma ammonia, opposing the ammonia-lowering effect of glycerol phenylbutyrate in urea cycle disorders. The concern is mainly with systemic dexamethasone.
How serious is the interaction between Dexamethasone-tobramycin and Glycerol phenylbutyrate?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor plasma ammonia closely if systemic corticosteroids are used and adjust the phenylbutyrate dose as needed.
What other medicines interact with Dexamethasone-tobramycin?
MediHelp also lists interactions of Dexamethasone-tobramycin with, for example, Capreomycin, Carboplatin, Ciprofloxacin. The full list is on the Dexamethasone-tobramycin 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。
