相互作用
Dronedarone + Nortriptyline
重症度: 併用禁忌
Dronedarone and Nortriptyline: contraindicated 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
Nortriptyline, a tricyclic antidepressant, prolongs the QTc interval and slows conduction, adding to dronedarone's effects. Dronedarone inhibits CYP2D6 and can raise nortriptyline concentrations, increasing the arrhythmia risk.
この相互作用をわかりやすく説明すると
Dronedarone and Nortriptyline 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.
Dronedarone belongs to Cardiovascular; Nortriptyline belongs to Central Nervous System.
なぜ起こるのか
Additive QTc prolongation; CYP2D6 inhibition raises nortriptyline exposure
対処法
Do not co-administer; choose an alternative that does not prolong the QT interval.
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
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、DronedaroneとNortriptyline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。
Dronedaroneのその他の相互作用
Nortriptylineのその他の相互作用
よくある質問
Can I take Dronedarone with Nortriptyline?
MediHelp rates the interaction as contraindicated. Dronedarone and Nortriptyline 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. Nortriptyline, a tricyclic antidepressant, prolongs the QTc interval and slows conduction, adding to dronedarone's effects. Dronedarone inhibits CYP2D6 and can raise nortriptyline concentrations, increasing the arrhythmia risk.
How serious is the interaction between Dronedarone and Nortriptyline?
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; choose an alternative that does not prolong the QT interval.
What other medicines interact with Dronedarone?
MediHelp also lists interactions of Dronedarone with, for example, Adagrasib, Amiodarone, Arsenic trioxide. The full list is on the Dronedarone 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。