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Interações medicamentosas

Belladonna and opium + Chlorpheniramine

Gravidade: Grave

Belladonna and opium and Chlorpheniramine: major interaction.

Última atualização Fontes: US FDA label

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

The opium component adds CNS and respiratory depression to the sedation of chlorpheniramine, and belladonna adds anticholinergic burden. The combination can cause marked drowsiness, constipation, urinary retention and confusion.

O que esta interação significa em palavras simples

Belladonna and opium and Chlorpheniramine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Nível de evidência: Moderate

Por que acontece

Additive opioid CNS and respiratory depression plus additive anticholinergic effects.

O que fazer

Avoid if possible; otherwise use the lowest doses and monitor sedation, respiration and anticholinergic effects. Use a non-sedating antihistamine instead.

O que perguntar ao farmacêutico

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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

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Referências

Perguntas frequentes

Can I take Belladonna and opium with Chlorpheniramine?

MediHelp rates the interaction as major. Belladonna and opium and Chlorpheniramine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. The opium component adds CNS and respiratory depression to the sedation of chlorpheniramine, and belladonna adds anticholinergic burden. The combination can cause marked drowsiness, constipation, urinary retention and confusion.

How serious is the interaction between Belladonna and opium and Chlorpheniramine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid if possible; otherwise use the lowest doses and monitor sedation, respiration and anticholinergic effects. Use a non-sedating antihistamine instead.

What other medicines interact with Chlorpheniramine?

MediHelp also lists interactions of Chlorpheniramine with, for example, Benzhydrocodone / acetaminophen, Brexanolone, Buprenorphine long-acting. The full list is on the Chlorpheniramine page.

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