相互作用
Diphenoxylate-atropine + Tranylcypromine
重症度: 併用禁忌
Diphenoxylate-atropine and Tranylcypromine: contraindicated interaction.
最終更新日
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概要
Diphenoxylate is labeled as potentially causing hypertensive crisis when given with MAO inhibitors. Tranylcypromine is a nonselective irreversible MAOI, so the risk of severe hypertension and agitation is substantial.
この相互作用をわかりやすく説明すると
Diphenoxylate-atropine and Tranylcypromine 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; Tranylcypromine belongs to Central Nervous System.
なぜ起こるのか
Irreversible MAO inhibition may potentiate the pressor and CNS effects of the opioid; the exact mechanism is not fully defined.
対処法
Do not co-administer, and do not start diphenoxylate-atropine within 14 days of stopping tranylcypromine. Use a different antidiarrheal such as loperamide.
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Tranylcypromine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
Tranylcypromineのその他の相互作用
よくある質問
Can I take Diphenoxylate-atropine with Tranylcypromine?
MediHelp rates the interaction as contraindicated. Diphenoxylate-atropine and Tranylcypromine 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 labeled as potentially causing hypertensive crisis when given with MAO inhibitors. Tranylcypromine is a nonselective irreversible MAOI, so the risk of severe hypertension and agitation is substantial.
How serious is the interaction between Diphenoxylate-atropine and Tranylcypromine?
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 co-administer, and do not start diphenoxylate-atropine within 14 days of stopping tranylcypromine. Use a different antidiarrheal such as loperamide.
What other medicines interact with Diphenoxylate-atropine?
MediHelp also lists interactions of Diphenoxylate-atropine with, for example, Isocarboxazid, Phenelzine, 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。
