相互作用
Rufinamide + Sodium valproate
重症度: 中等度
Rufinamide and Sodium valproate: moderate interaction.
最終更新日
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
Valproate increases rufinamide concentrations, especially in children, raising the risk of somnolence, vomiting, dizziness and QT shortening.
この相互作用をわかりやすく説明すると
Rufinamide and Sodium valproate 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.
Rufinamide belongs to Central Nervous System; Sodium valproate belongs to Central Nervous System.
なぜ起こるのか
Valproate probably inhibits the metabolism of rufinamide, which is cleared by carboxylesterase hydrolysis.
対処法
Start rufinamide at a lower dose than usual in patients on valproate, and titrate slowly. Monitor for adverse effects.
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、RufinamideとSodium valproate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。
Rufinamideのその他の相互作用
Sodium valproateのその他の相互作用
よくある質問
Can I take Rufinamide with Sodium valproate?
MediHelp rates the interaction as moderate. Rufinamide and Sodium valproate 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. Valproate increases rufinamide concentrations, especially in children, raising the risk of somnolence, vomiting, dizziness and QT shortening.
How serious is the interaction between Rufinamide and Sodium valproate?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Start rufinamide at a lower dose than usual in patients on valproate, and titrate slowly. Monitor for adverse effects.
What other medicines interact with Rufinamide?
MediHelp also lists interactions of Rufinamide with, for example, Carbamazepine, Desogestrel-ethinyl estradiol, Dronedarone. The full list is on the Rufinamide 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。
