Pular para o conteúdo

Interações medicamentosas

Arsenic trioxide + Maprotiline

Gravidade: Contraindicada

Arsenic trioxide and Maprotiline: contraindicated interaction.

Última atualização

Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.

O conteúdo clínico desta página está disponível apenas em inglês.

Resumo

Arsenic trioxide causes marked QT prolongation and torsades de pointes, and maprotiline adds to this risk. The combination can cause life-threatening ventricular arrhythmias.

O que esta interação significa em palavras simples

Arsenic trioxide and Maprotiline 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.

Arsenic trioxide belongs to Oncology; Maprotiline belongs to Central Nervous System.

Nível de evidência: Moderate

Por que acontece

Additive QT prolongation through cardiac repolarization effects.

O que fazer

Avoid the combination and use a non-QT-prolonging antidepressant during arsenic trioxide therapy. If it is unavoidable, perform continuous ECG monitoring and keep potassium and magnesium replete.

O que perguntar ao farmacêutico

  • 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.

Para assinantes do Pro+

Desbloqueie a página completa

Crie uma conta e comece um teste do Pro+ para desbloquear a orientação completa de conduta para Arsenic trioxide e Maprotiline, as notas adicionais, os detalhes da evidência e o verificador de interações para uma prescrição completa.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Experimente o Pro+ grátis por 14 dias na web. Sem cartão.

Perguntas frequentes

Can I take Arsenic trioxide with Maprotiline?

MediHelp rates the interaction as contraindicated. Arsenic trioxide and Maprotiline 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. Arsenic trioxide causes marked QT prolongation and torsades de pointes, and maprotiline adds to this risk. The combination can cause life-threatening ventricular arrhythmias.

How serious is the interaction between Arsenic trioxide and Maprotiline?

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 the combination and use a non-QT-prolonging antidepressant during arsenic trioxide therapy. If it is unavoidable, perform continuous ECG monitoring and keep potassium and magnesium replete.

What other medicines interact with Maprotiline?

MediHelp also lists interactions of Maprotiline with, for example, Disopyramide, Dofetilide, Ibutilide. The full list is on the Maprotiline page.

Monografias completas, posologia e verificador de interações no app MediHelp

Abra a referência completa, verifique interações entre vários medicamentos e use as ferramentas de posologia no app MediHelp.

Explorar de A a Z · Interações medicamentosas

Baixar o app Entrar