相互作用
Riociguat + Theophylline
重症度: 併用禁忌
Riociguat and Theophylline: contraindicated interaction.
最終更新日 出典: US FDA label
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
概要
Riociguat is contraindicated with PDE inhibitors including nonspecific ones such as theophylline and dipyridamole. Combining them can cause additive vasodilation with symptomatic hypotension through increased cGMP signalling.
この相互作用をわかりやすく説明すると
Riociguat and Theophylline 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.
Riociguat belongs to Cardiovascular; Theophylline belongs to Respiratory.
なぜ起こるのか
Additive increases in cGMP: riociguat stimulates soluble guanylate cyclase while theophylline inhibits phosphodiesterases.
対処法
Do not use together. Choose an alternative bronchodilator, or if theophylline is essential discuss options with the specialist and avoid riociguat.
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、RiociguatとTheophylline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
WebでPro+を14日間無料でお試し。カード登録不要。
参考文献
- Adempas - FDA drug label (DailyMed) — openFDA / DailyMed
Theophyllineのその他の相互作用
Riociguatのその他の相互作用
よくある質問
Can I take Riociguat with Theophylline?
MediHelp rates the interaction as contraindicated. Riociguat and Theophylline 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. Riociguat is contraindicated with PDE inhibitors including nonspecific ones such as theophylline and dipyridamole. Combining them can cause additive vasodilation with symptomatic hypotension through increased cGMP signalling.
How serious is the interaction between Riociguat and Theophylline?
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 use together. Choose an alternative bronchodilator, or if theophylline is essential discuss options with the specialist and avoid riociguat.
What other medicines interact with Theophylline?
MediHelp also lists interactions of Theophylline with, for example, Adenosine, Apalutamide, Bupropion. The full list is on the Theophylline 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。
