Interações medicamentosas
Amitriptyline + Sufentanil
Gravidade: Grave
Amitriptyline and Sufentanil: major interaction.
Última atualização Fontes: US FDA label
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Resumo
Combining a tricyclic antidepressant with an opioid increases sedation and the risk of respiratory depression. Amitriptyline may also potentiate serotonergic and hypotensive effects.
O que esta interação significa em palavras simples
Amitriptyline and Sufentanil 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.
Amitriptyline belongs to Central Nervous System; Sufentanil belongs to Musculoskeletal.
Por que acontece
Additive CNS and respiratory depression, with some serotonergic contribution.
O que fazer
Use the lowest effective sufentanil dose and monitor respiratory rate, sedation level, and blood pressure. Have airway support and reversal agents available in procedural settings.
O que perguntar ao farmacêutico
- 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?
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Referências
Outras interações de Amitriptyline
- Amitriptyline + Isocarboxazid Contraindicada
- Amitriptyline + Methylene blue Contraindicada
- Amitriptyline + Phenelzine Contraindicada
- Amitriptyline + Pimozide Contraindicada
- Amitriptyline + Procarbazine Contraindicada
- Amitriptyline + Safinamide Contraindicada
Outras interações de Sufentanil
- Alprazolam + Sufentanil Grave
- Amobarbital + Sufentanil Grave
- Aripiprazole + Sufentanil Grave
- Asenapine + Sufentanil Grave
- Baclofen + Sufentanil Grave
- Brexpiprazole + Sufentanil Grave
Perguntas frequentes
Can I take Amitriptyline with Sufentanil?
MediHelp rates the interaction as major. Amitriptyline and Sufentanil 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. Combining a tricyclic antidepressant with an opioid increases sedation and the risk of respiratory depression. Amitriptyline may also potentiate serotonergic and hypotensive effects.
How serious is the interaction between Amitriptyline and Sufentanil?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective sufentanil dose and monitor respiratory rate, sedation level, and blood pressure. Have airway support and reversal agents available in procedural settings.
What other medicines interact with Amitriptyline?
MediHelp also lists interactions of Amitriptyline with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Amitriptyline page.
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