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相互作用

Dolasetron + Pimozide

重症度: 併用禁忌

Dolasetron and Pimozide: contraindicated interaction.

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概要

Pimozide markedly prolongs the QT interval and is associated with torsades de pointes, and dolasetron adds further QT and QRS prolongation. The combination may cause life-threatening ventricular arrhythmia.

この相互作用をわかりやすく説明すると

Dolasetron and Pimozide 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.

Dolasetron belongs to Gastrointestinal Tract; Pimozide belongs to Central Nervous System.

エビデンスレベル: Moderate

なぜ起こるのか

Additive prolongation of cardiac repolarization.

対処法

Do not combine; select an antiemetic without QT effect for patients on pimozide.

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、DolasetronとPimozide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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よくある質問

Can I take Dolasetron with Pimozide?

MediHelp rates the interaction as contraindicated. Dolasetron and Pimozide 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. Pimozide markedly prolongs the QT interval and is associated with torsades de pointes, and dolasetron adds further QT and QRS prolongation. The combination may cause life-threatening ventricular arrhythmia.

How serious is the interaction between Dolasetron and Pimozide?

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; select an antiemetic without QT effect for patients on pimozide.

What other medicines interact with Dolasetron?

MediHelp also lists interactions of Dolasetron with, for example, Apomorphine, Dofetilide, Ibutilide. The full list is on the Dolasetron 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。

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