相互作用
Meperidine + Olanzapine / samidorphan
重症度: 併用禁忌
Meperidine and Olanzapine / samidorphan: contraindicated interaction.
最終更新日
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概要
Samidorphan is an opioid antagonist that blocks the effect of meperidine and can precipitate acute withdrawal in opioid-dependent patients. The combination is contraindicated in patients using opioids.
この相互作用をわかりやすく説明すると
Meperidine and Olanzapine / samidorphan 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.
なぜ起こるのか
Samidorphan is a mu-opioid receptor antagonist that opposes the pharmacologic effects of opioid agonists.
対処法
Do not start olanzapine/samidorphan until the patient has been opioid-free for at least 7 days for short-acting opioids. Choose another antipsychotic if ongoing opioid therapy is needed.
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、MeperidineとOlanzapine / samidorphan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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Meperidineのその他の相互作用
よくある質問
Can I take Meperidine with Olanzapine / samidorphan?
MediHelp rates the interaction as contraindicated. Meperidine and Olanzapine / samidorphan 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. Samidorphan is an opioid antagonist that blocks the effect of meperidine and can precipitate acute withdrawal in opioid-dependent patients. The combination is contraindicated in patients using opioids.
How serious is the interaction between Meperidine and Olanzapine / samidorphan?
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 start olanzapine/samidorphan until the patient has been opioid-free for at least 7 days for short-acting opioids. Choose another antipsychotic if ongoing opioid therapy is needed.
What other medicines interact with Meperidine?
MediHelp also lists interactions of Meperidine with, for example, Alvimopan, Isocarboxazid, Methylene blue. The full list is on the Meperidine 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。
