相互作用
Scopolamine + Trihexyphenidyl
重症度: 重大
Scopolamine and Trihexyphenidyl: major interaction.
最終更新日
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概要
Both are potent antimuscarinics, so combining them can produce marked anticholinergic toxicity with dry mouth, constipation, urinary retention, blurred vision, tachycardia, confusion and hallucinations. Older adults are especially susceptible, and hyperthermia can occur.
この相互作用をわかりやすく説明すると
Scopolamine and Trihexyphenidyl can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Scopolamine belongs to Respiratory; Trihexyphenidyl belongs to Central Nervous System.
なぜ起こるのか
Additive muscarinic receptor blockade in the central and peripheral nervous systems.
対処法
Avoid the combination where possible, particularly in older adults. If it is necessary, use the lowest doses and monitor for delirium, retention and tachycardia.
薬剤師に尋ねること
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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、ScopolamineとTrihexyphenidyl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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Scopolamineのその他の相互作用
Trihexyphenidylのその他の相互作用
よくある質問
Can I take Scopolamine with Trihexyphenidyl?
MediHelp rates the interaction as major. Scopolamine and Trihexyphenidyl can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both are potent antimuscarinics, so combining them can produce marked anticholinergic toxicity with dry mouth, constipation, urinary retention, blurred vision, tachycardia, confusion and hallucinations. Older adults are especially susceptible, and hyperthermia can occur.
How serious is the interaction between Scopolamine and Trihexyphenidyl?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible, particularly in older adults. If it is necessary, use the lowest doses and monitor for delirium, retention and tachycardia.
What other medicines interact with Scopolamine?
MediHelp also lists interactions of Scopolamine with, for example, Benzhydrocodone / acetaminophen, Buprenorphine long-acting, Buprenorphine subdermal implant. The full list is on the Scopolamine 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。
