相互作用
Diphenoxylate-atropine + Isocarboxazid
重症度: 併用禁忌
Diphenoxylate-atropine and Isocarboxazid: contraindicated interaction.
最終更新日
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概要
Diphenoxylate is structurally related to meperidine, and MAO inhibitors can cause severe reactions with such opioids. Hypertensive crisis, hyperpyrexia, hypotension, somnolence or death may occur. Labeling advises against use of diphenoxylate with MAO inhibitors.
この相互作用をわかりやすく説明すると
Diphenoxylate-atropine and Isocarboxazid are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Diphenoxylate-atropine belongs to Gastrointestinal Tract; Isocarboxazid belongs to Central Nervous System.
なぜ起こるのか
MAO inhibition may potentiate diphenoxylate through a meperidine-like interaction; the exact mechanism is not fully established.
対処法
Do not use together or within 14 days of stopping the MAO inhibitor. Use a non-opioid antidiarrheal alternative.
薬剤師に尋ねること
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
Pro+会員向け
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アカウントを作成してPro+トライアルを始めると、Diphenoxylate-atropineとIsocarboxazid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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Diphenoxylate-atropineのその他の相互作用
Isocarboxazidのその他の相互作用
よくある質問
Can I take Diphenoxylate-atropine with Isocarboxazid?
MediHelp rates the interaction as contraindicated. Diphenoxylate-atropine and Isocarboxazid are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Diphenoxylate is structurally related to meperidine, and MAO inhibitors can cause severe reactions with such opioids. Hypertensive crisis, hyperpyrexia, hypotension, somnolence or death may occur. Labeling advises against use of diphenoxylate with MAO inhibitors.
How serious is the interaction between Diphenoxylate-atropine and Isocarboxazid?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use together or within 14 days of stopping the MAO inhibitor. Use a non-opioid antidiarrheal alternative.
What other medicines interact with Diphenoxylate-atropine?
MediHelp also lists interactions of Diphenoxylate-atropine with, for example, Phenelzine, Tranylcypromine, Alfentanil. The full list is on the Diphenoxylate-atropine 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。
