相互作用
Dextroamphetamine + Dopamine
重症度: 重大
Dextroamphetamine and Dopamine: major interaction.
最終更新日
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概要
Dextroamphetamine releases endogenous catecholamines and adds to the adrenergic effects of infused dopamine. The combination can cause marked rises in blood pressure and heart rate and may provoke tachyarrhythmias or myocardial ischemia.
この相互作用をわかりやすく説明すると
Dextroamphetamine and Dopamine 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.
Dextroamphetamine belongs to Central Nervous System; Dopamine belongs to Cardiovascular.
なぜ起こるのか
Additive sympathomimetic activity, with amphetamine-induced catecholamine release and reuptake blockade potentiating dopamine's effects.
対処法
Monitor blood pressure, heart rate and ECG continuously and titrate dopamine to the lowest effective dose. Hold the amphetamine if hypertension or arrhythmia develops.
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、DextroamphetamineとDopamine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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Dopamineのその他の相互作用
Dextroamphetamineのその他の相互作用
よくある質問
Can I take Dextroamphetamine with Dopamine?
MediHelp rates the interaction as major. Dextroamphetamine and Dopamine 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. Dextroamphetamine releases endogenous catecholamines and adds to the adrenergic effects of infused dopamine. The combination can cause marked rises in blood pressure and heart rate and may provoke tachyarrhythmias or myocardial ischemia.
How serious is the interaction between Dextroamphetamine and Dopamine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure, heart rate and ECG continuously and titrate dopamine to the lowest effective dose. Hold the amphetamine if hypertension or arrhythmia develops.
What other medicines interact with Dopamine?
MediHelp also lists interactions of Dopamine with, for example, Dihydroergotamine intranasal, Dihydroergotamine, Selegiline transdermal. The full list is on the Dopamine 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。