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Interações medicamentosas

Atracurium + Corticotropin

Gravidade: Moderada

Atracurium and Corticotropin: 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

Corticotropin stimulates endogenous corticosteroid release, and corticosteroids given with nondepolarizing neuromuscular blockers have been linked to acute quadriplegic myopathy, especially in critically ill patients on prolonged infusions. Risk is greatest with prolonged ventilation and high steroid exposure.

O que esta interação significa em palavras simples

Atracurium and Corticotropin 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.

Atracurium belongs to Musculoskeletal; Corticotropin belongs to Endocrine.

Nível de evidência: Low

Por que acontece

Additive muscle toxicity from corticosteroid-induced myopathy and prolonged neuromuscular blockade; the exact mechanism is not fully established.

O que fazer

Limit the duration and dose of neuromuscular blockade in patients receiving corticotropin, and monitor for persistent weakness and creatine kinase elevation.

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 Atracurium with Corticotropin?

MediHelp rates the interaction as moderate. Atracurium and Corticotropin 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. Corticotropin stimulates endogenous corticosteroid release, and corticosteroids given with nondepolarizing neuromuscular blockers have been linked to acute quadriplegic myopathy, especially in critically ill patients on prolonged infusions. Risk is greatest with prolonged ventilation and high steroid exposure.

How serious is the interaction between Atracurium and Corticotropin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Limit the duration and dose of neuromuscular blockade in patients receiving corticotropin, and monitor for persistent weakness and creatine kinase elevation.

What other medicines interact with Atracurium?

MediHelp also lists interactions of Atracurium with, for example, Amikacin, Bacitracin-neomycin-polymyxin, Benzhydrocodone / acetaminophen. The full list is on the Atracurium page.

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