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相互作用

Pentamidine + Ziprasidone

重症度: 併用禁忌

Pentamidine and Ziprasidone: contraindicated interaction.

最終更新日

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概要

Systemic pentamidine can prolong the QT interval and has been linked to torsades de pointes, and ziprasidone has similar effects. Using both increases the risk of serious ventricular arrhythmias. Pentamidine can also cause electrolyte disturbances that worsen this risk.

この相互作用をわかりやすく説明すると

Pentamidine and Ziprasidone 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.

Pentamidine belongs to Anti Parasitic; Ziprasidone belongs to Central Nervous System.

エビデンスレベル: Moderate

なぜ起こるのか

Additive QT prolongation through cardiac repolarization delay, with pentamidine-related hypokalemia or hypomagnesemia as a contributor.

対処法

Avoid concurrent use; hold ziprasidone or choose another anti-infective if possible. If unavoidable, correct electrolytes beforehand and monitor ECG continuously.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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アカウントを作成してPro+トライアルを始めると、PentamidineとZiprasidone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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よくある質問

Can I take Pentamidine with Ziprasidone?

MediHelp rates the interaction as contraindicated. Pentamidine and Ziprasidone 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. Systemic pentamidine can prolong the QT interval and has been linked to torsades de pointes, and ziprasidone has similar effects. Using both increases the risk of serious ventricular arrhythmias. Pentamidine can also cause electrolyte disturbances that worsen this risk.

How serious is the interaction between Pentamidine and Ziprasidone?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use; hold ziprasidone or choose another anti-infective if possible. If unavoidable, correct electrolytes beforehand and monitor ECG continuously.

What other medicines interact with Ziprasidone?

MediHelp also lists interactions of Ziprasidone with, for example, Amiodarone, Amitriptyline, Arsenic trioxide. The full list is on the Ziprasidone 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。

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