相互作用
Fluvoxamine + Melatonin
重症度: 重大
Fluvoxamine and Melatonin: major interaction.
最終更新日
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概要
Fluvoxamine markedly increases melatonin exposure, causing excessive sedation and psychomotor impairment.
この相互作用をわかりやすく説明すると
Fluvoxamine and Melatonin 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.
Fluvoxamine belongs to Central Nervous System; Melatonin belongs to Gastrointestinal Tract.
なぜ起こるのか
Strong CYP1A2 inhibition by fluvoxamine reduces melatonin metabolism → sharply increased melatonin levels.
対処法
Avoid combination. If necessary, use the lowest melatonin dose with close monitoring for excessive sedation and cognitive/psychomotor impairment; advise against driving or hazardous tasks.
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、FluvoxamineとMelatonin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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Fluvoxamineのその他の相互作用
Melatoninのその他の相互作用
よくある質問
Can I take Fluvoxamine with Melatonin?
MediHelp rates the interaction as major. Fluvoxamine and Melatonin 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. Fluvoxamine markedly increases melatonin exposure, causing excessive sedation and psychomotor impairment.
How serious is the interaction between Fluvoxamine and Melatonin?
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 combination. If necessary, use the lowest melatonin dose with close monitoring for excessive sedation and cognitive/psychomotor impairment; advise against driving or hazardous tasks.
What other medicines interact with Fluvoxamine?
MediHelp also lists interactions of Fluvoxamine with, for example, Agomelatine, Alosetron, Fezolinetant. The full list is on the Fluvoxamine 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。
