相互作用
Ethacrynic acid + Furosemide
重症度: 重大
Ethacrynic acid and Furosemide: major interaction.
最終更新日
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概要
Both are loop diuretics, so combining them gives no therapeutic advantage and adds to the risk of ototoxicity, profound diuresis, and electrolyte depletion. Hearing damage can be permanent and the risk rises with high doses, renal impairment, or rapid infusion.
この相互作用をわかりやすく説明すると
Ethacrynic acid and Furosemide 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.
Ethacrynic acid belongs to Cardiovascular; Furosemide belongs to Cardiovascular.
なぜ起こるのか
Duplicate loop diuretic action with additive inhibition of the Na-K-2Cl cotransporter, including in the cochlea, producing additive ototoxicity and volume and electrolyte depletion.
対処法
Avoid concurrent use of two loop diuretics; use a single agent and, if resistance occurs, add a thiazide-type diuretic instead. Monitor hearing, renal function, and electrolytes if exposure cannot be avoided.
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、Ethacrynic acidとFurosemide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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Furosemideのその他の相互作用
Ethacrynic acidのその他の相互作用
よくある質問
Can I take Ethacrynic acid with Furosemide?
MediHelp rates the interaction as major. Ethacrynic acid and Furosemide 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 loop diuretics, so combining them gives no therapeutic advantage and adds to the risk of ototoxicity, profound diuresis, and electrolyte depletion. Hearing damage can be permanent and the risk rises with high doses, renal impairment, or rapid infusion.
How serious is the interaction between Ethacrynic acid and Furosemide?
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 concurrent use of two loop diuretics; use a single agent and, if resistance occurs, add a thiazide-type diuretic instead. Monitor hearing, renal function, and electrolytes if exposure cannot be avoided.
What other medicines interact with Furosemide?
MediHelp also lists interactions of Furosemide with, for example, Amifostine, Amikacin, Carbenoxolone. The full list is on the Furosemide 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。
