相互作用
Dihydroergotamine intranasal + Dobutamine
重症度: 重大
Dihydroergotamine intranasal and Dobutamine: major interaction.
最終更新日
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概要
Intranasal dihydroergotamine is absorbed systemically and can cause vasoconstriction, which may add to dobutamine's cardiovascular stimulation. This may lead to hypertension and reduced peripheral perfusion. The evidence is mainly theoretical.
この相互作用をわかりやすく説明すると
Dihydroergotamine intranasal and Dobutamine 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 pharmacodynamic vasoconstriction and cardiovascular stimulation.
対処法
Avoid giving dihydroergotamine to patients on dobutamine infusion; use another migraine therapy. If unavoidable, monitor blood pressure and limb perfusion closely.
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、Dihydroergotamine intranasalとDobutamine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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Dobutamineのその他の相互作用
よくある質問
Can I take Dihydroergotamine intranasal with Dobutamine?
MediHelp rates the interaction as major. Dihydroergotamine intranasal and Dobutamine 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. Intranasal dihydroergotamine is absorbed systemically and can cause vasoconstriction, which may add to dobutamine's cardiovascular stimulation. This may lead to hypertension and reduced peripheral perfusion. The evidence is mainly theoretical.
How serious is the interaction between Dihydroergotamine intranasal and Dobutamine?
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 giving dihydroergotamine to patients on dobutamine infusion; use another migraine therapy. If unavoidable, monitor blood pressure and limb perfusion closely.
What other medicines interact with Dobutamine?
MediHelp also lists interactions of Dobutamine with, for example, Budesonide-formoterol, Dihydroergotamine, Ergotamine. The full list is on the Dobutamine 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。
