相互作用
Ergotamine + Isosorbide dinitrate
重症度: 重大
Ergotamine and Isosorbide dinitrate: major interaction.
最終更新日
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概要
Ergotamine causes vasoconstriction and can provoke angina or raise blood pressure, opposing the antianginal action of nitrates. Nitrates may also be less effective, and the clinical effect is loss of antianginal efficacy and ischaemia risk.
この相互作用をわかりやすく説明すると
Ergotamine and Isosorbide dinitrate 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.
Ergotamine belongs to Central Nervous System; Isosorbide dinitrate belongs to Cardiovascular.
なぜ起こるのか
Pharmacodynamic antagonism between ergotamine vasoconstriction and nitrate vasodilation.
対処法
Avoid in patients with coronary disease; use a non-ergot migraine therapy where possible, and monitor for angina and blood pressure rise if unavoidable.
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、ErgotamineとIsosorbide dinitrate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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Isosorbide dinitrateのその他の相互作用
Ergotamineのその他の相互作用
よくある質問
Can I take Ergotamine with Isosorbide dinitrate?
MediHelp rates the interaction as major. Ergotamine and Isosorbide dinitrate 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. Ergotamine causes vasoconstriction and can provoke angina or raise blood pressure, opposing the antianginal action of nitrates. Nitrates may also be less effective, and the clinical effect is loss of antianginal efficacy and ischaemia risk.
How serious is the interaction between Ergotamine and Isosorbide dinitrate?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid in patients with coronary disease; use a non-ergot migraine therapy where possible, and monitor for angina and blood pressure rise if unavoidable.
What other medicines interact with Isosorbide dinitrate?
MediHelp also lists interactions of Isosorbide dinitrate with, for example, Avanafil, Riociguat, Sildenafil. The full list is on the Isosorbide dinitrate 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。
