相互作用
Disopyramide + Lidocaine
重症度: 重大
Disopyramide and Lidocaine: major interaction.
最終更新日
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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
Both are class I antiarrhythmics with negative inotropic and conduction-slowing effects. Together they may cause additive myocardial depression, conduction block, proarrhythmia or worsening heart failure, particularly with structural heart disease.
この相互作用をわかりやすく説明すると
Disopyramide and Lidocaine 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; Lidocaine belongs to Cardiovascular.
なぜ起こるのか
Additive sodium channel blockade and negative inotropy.
対処法
Use with continuous ECG and hemodynamic monitoring, and avoid in patients with heart failure or conduction disease. Reduce doses and stop if QRS widening or hypotension 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Lidocaine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7日間無料でお試し。カード登録不要。
Lidocaine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 Lidocaine?
MediHelp rates the interaction as major. Disopyramide and Lidocaine 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. Both are class I antiarrhythmics with negative inotropic and conduction-slowing effects. Together they may cause additive myocardial depression, conduction block, proarrhythmia or worsening heart failure, particularly with structural heart disease.
How serious is the interaction between Disopyramide and Lidocaine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use with continuous ECG and hemodynamic monitoring, and avoid in patients with heart failure or conduction disease. Reduce doses and stop if QRS widening or hypotension occurs.
What other medicines interact with Lidocaine?
MediHelp also lists interactions of Lidocaine with, for example, Bupivacaine liposome, Ex vivo expanded autologous human corneal epithelial cells containing stem cells, Nirmatrelvir / ritonavir. The full list is on the Lidocaine 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。
