相互作用
Mosapride + Prucalopride
重症度: 中等度
Mosapride and Prucalopride: moderate interaction.
最終更新日 出典: US FDA label
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概要
Both drugs are 5-HT4 receptor agonists, so using them together duplicates therapy and may increase diarrhea, abdominal cramps, nausea, and headache. This could cause dehydration and electrolyte loss, especially in older or renally impaired patients. There is no good evidence that the combination improves efficacy.
この相互作用をわかりやすく説明すると
Mosapride and Prucalopride can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Mosapride belongs to Gastrointestinal Tract; Prucalopride belongs to Gastrointestinal Tract.
なぜ起こるのか
Pharmacodynamic: additive 5-HT4 receptor agonism enhances acetylcholine release in the enteric nervous system and accelerates gastrointestinal transit. No important pharmacokinetic interaction is expected.
対処法
Avoid using both and choose a single prokinetic. If switching, stop one agent before starting the other.
薬剤師に尋ねること
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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、MosaprideとPrucalopride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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参考文献
- Motegrity (prucalopride) Prescribing Information — FDA Label
- Resolor (prucalopride) Summary of Product Characteristics — EMA SmPC
Mosaprideのその他の相互作用
よくある質問
Can I take Mosapride with Prucalopride?
MediHelp rates the interaction as moderate. Mosapride and Prucalopride can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Both drugs are 5-HT4 receptor agonists, so using them together duplicates therapy and may increase diarrhea, abdominal cramps, nausea, and headache. This could cause dehydration and electrolyte loss, especially in older or renally impaired patients. There is no good evidence that the combination improves efficacy.
How serious is the interaction between Mosapride and Prucalopride?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid using both and choose a single prokinetic. If switching, stop one agent before starting the other.
What other medicines interact with Mosapride?
MediHelp also lists interactions of Mosapride with, for example, Linaclotide, Lubiprostone. The full list is on the Mosapride 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。
