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Interações medicamentosas

Azithromycin + Pimozide

Gravidade: Contraindicada

Azithromycin and Pimozide: contraindicated 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.

O conteúdo clínico desta página está disponível apenas em inglês.

Resumo

Azithromycin can prolong the QT interval, and pimozide is a drug with a narrow margin in which QT lengthening and torsades have occurred. Azithromycin is a weaker CYP3A4 inhibitor than other macrolides, but the pharmacodynamic risk remains.

O que esta interação significa em palavras simples

Azithromycin and Pimozide 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.

Azithromycin belongs to Anti Bacterial; Pimozide belongs to Central Nervous System.

Nível de evidência: Moderate

Por que acontece

Additive QTc prolongation

O que fazer

Avoid; use a non-QT-prolonging antibiotic during pimozide therapy.

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?

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Perguntas frequentes

Can I take Azithromycin with Pimozide?

MediHelp rates the interaction as contraindicated. Azithromycin and Pimozide 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. Azithromycin can prolong the QT interval, and pimozide is a drug with a narrow margin in which QT lengthening and torsades have occurred. Azithromycin is a weaker CYP3A4 inhibitor than other macrolides, but the pharmacodynamic risk remains.

How serious is the interaction between Azithromycin and Pimozide?

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; use a non-QT-prolonging antibiotic during pimozide therapy.

What other medicines interact with Azithromycin?

MediHelp also lists interactions of Azithromycin with, for example, Cisapride, Domperidone, Dronedarone. The full list is on the Azithromycin page.

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