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Interações medicamentosas

Articaine + Timolol

Gravidade: Moderada

Articaine and Timolol: moderate interaction.

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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.

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Resumo

Dental articaine is usually given with epinephrine. In patients on nonselective beta-blockers, unopposed alpha stimulation by epinephrine can cause hypertension with reflex bradycardia.

O que esta interação significa em palavras simples

Articaine and Timolol 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.

Articaine belongs to Central Nervous System; Timolol belongs to Cardiovascular.

Nível de evidência: Moderate

Por que acontece

Timolol blocks beta-2 mediated vasodilation, leaving epinephrine's alpha-mediated vasoconstriction unopposed.

O que fazer

Do not stop the beta-blocker before the procedure. Use the minimum effective epinephrine dose with aspiration to avoid intravascular injection, and monitor blood pressure and heart rate.

O que perguntar ao farmacêutico

  • 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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Perguntas frequentes

Can I take Articaine with Timolol?

MediHelp rates the interaction as moderate. Articaine and Timolol 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. Dental articaine is usually given with epinephrine. In patients on nonselective beta-blockers, unopposed alpha stimulation by epinephrine can cause hypertension with reflex bradycardia.

How serious is the interaction between Articaine and Timolol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not stop the beta-blocker before the procedure. Use the minimum effective epinephrine dose with aspiration to avoid intravascular injection, and monitor blood pressure and heart rate.

What other medicines interact with Timolol?

MediHelp also lists interactions of Timolol with, for example, Acebutolol, Albuterol, Aldesleukin. The full list is on the Timolol page.

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