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相互作用

Diphenoxylate-atropine + Phenelzine

重症度: 併用禁忌

Diphenoxylate-atropine and Phenelzine: contraindicated interaction.

最終更新日

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概要

Diphenoxylate is structurally similar to meperidine, and combining with MAO inhibitors may provoke hypertensive crisis, hyperpyrexia, hypotension or CNS depression. Labeling warns against concurrent use. Reactions could be severe or fatal.

この相互作用をわかりやすく説明すると

Diphenoxylate-atropine and Phenelzine 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; Phenelzine belongs to Central Nervous System.

エビデンスレベル: Moderate

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 combine, and allow 14 days after stopping phenelzine before using diphenoxylate-atropine. Choose 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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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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Phenelzine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。

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  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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よくある質問

Can I take Diphenoxylate-atropine with Phenelzine?

MediHelp rates the interaction as contraindicated. Diphenoxylate-atropine and Phenelzine 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 similar to meperidine, and combining with MAO inhibitors may provoke hypertensive crisis, hyperpyrexia, hypotension or CNS depression. Labeling warns against concurrent use. Reactions could be severe or fatal.

How serious is the interaction between Diphenoxylate-atropine and Phenelzine?

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 combine, and allow 14 days after stopping phenelzine before using diphenoxylate-atropine. Choose a non-opioid antidiarrheal alternative.

What other medicines interact with Diphenoxylate-atropine?

MediHelp also lists interactions of Diphenoxylate-atropine with, for example, Isocarboxazid, Tranylcypromine, Alfentanil. The full list is on the Diphenoxylate-atropine page.

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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。

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