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Interações medicamentosas

Asenapine + Pefloxacin

Gravidade: Moderada

Asenapine and Pefloxacin: 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

Pefloxacin inhibits CYP1A2, the main enzyme metabolizing asenapine, so asenapine exposure may increase. Higher levels could add to sedation, hypotension and QT prolongation, and pefloxacin itself can prolong the QT interval.

O que esta interação significa em palavras simples

Asenapine and Pefloxacin 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.

Asenapine belongs to Central Nervous System; Pefloxacin belongs to Anti Bacterial.

Nível de evidência: Low

Por que acontece

Inhibition of CYP1A2-mediated asenapine metabolism, with possible additive QT prolongation.

O que fazer

Monitor for sedation, hypotension and QT-related symptoms, and consider an ECG in patients with cardiac risk factors. Choose an antibiotic that does not inhibit CYP1A2 or prolong QT if possible.

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 Asenapine with Pefloxacin?

MediHelp rates the interaction as moderate. Asenapine and Pefloxacin 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. Pefloxacin inhibits CYP1A2, the main enzyme metabolizing asenapine, so asenapine exposure may increase. Higher levels could add to sedation, hypotension and QT prolongation, and pefloxacin itself can prolong the QT interval.

How serious is the interaction between Asenapine and Pefloxacin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for sedation, hypotension and QT-related symptoms, and consider an ECG in patients with cardiac risk factors. Choose an antibiotic that does not inhibit CYP1A2 or prolong QT if possible.

What other medicines interact with Asenapine?

MediHelp also lists interactions of Asenapine with, for example, Pimozide, Thioridazine, Vandetanib. The full list is on the Asenapine page.

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