相互作用
Disopyramide + Gliclazide
重症度: 重大
Disopyramide and Gliclazide: major interaction.
最終更新日
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
概要
Disopyramide can cause hypoglycemia, sometimes severe, and may add to the effect of gliclazide. Elderly patients and those with renal impairment are at greater risk.
この相互作用をわかりやすく説明すると
Disopyramide and Gliclazide 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.
Disopyramide belongs to Cardiovascular; Gliclazide belongs to Endocrine.
なぜ起こるのか
Disopyramide stimulates insulin secretion through effects on pancreatic potassium channels, additive with sulfonylureas.
対処法
Monitor blood glucose closely and reduce the gliclazide dose if needed; consider an alternative antiarrhythmic if recurrent hypoglycemia occurs.
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、DisopyramideとGliclazide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
WebでPro+を14日間無料でお試し。カード登録不要。
Gliclazideのその他の相互作用
Disopyramideのその他の相互作用
よくある質問
Can I take Disopyramide with Gliclazide?
MediHelp rates the interaction as major. Disopyramide and Gliclazide 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. Disopyramide can cause hypoglycemia, sometimes severe, and may add to the effect of gliclazide. Elderly patients and those with renal impairment are at greater risk.
How serious is the interaction between Disopyramide and Gliclazide?
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 glucose closely and reduce the gliclazide dose if needed; consider an alternative antiarrhythmic if recurrent hypoglycemia occurs.
What other medicines interact with Gliclazide?
MediHelp also lists interactions of Gliclazide with, for example, Ciprofloxacin, Clarithromycin, Fluconazole. The full list is on the Gliclazide 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。
