Interações medicamentosas
Chloramphenicol + Colchicine
Gravidade: Grave
Chloramphenicol and Colchicine: major interaction.
Última atualização
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
Chloramphenicol can inhibit CYP3A4 and may raise colchicine concentrations. Higher exposure raises the risk of colchicine toxicity including GI effects, myopathy and bone marrow suppression.
O que esta interação significa em palavras simples
Chloramphenicol and Colchicine 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.
Chloramphenicol belongs to Anti Bacterial; Colchicine belongs to Genitourinary.
Por que acontece
Inhibition of CYP3A4 reduces colchicine metabolism.
O que fazer
Reduce the colchicine dose or avoid the combination, and monitor for toxicity and blood counts. Avoid it altogether in renal or hepatic impairment.
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?
Para assinantes do Pro+
Desbloqueie a página completa
Crie uma conta e comece um teste do Pro+ para desbloquear a orientação completa de conduta para Chloramphenicol e Colchicine, as notas adicionais, os detalhes da evidência e o verificador de interações para uma prescrição completa.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Experimente o Pro+ grátis por 7 dias na web. Sem cartão.
Outras interações de Colchicine
- Clarithromycin + Colchicine Contraindicada
- Cobicistat + Colchicine Contraindicada
- Colchicine + Cyclosporine Contraindicada
- Colchicine + Ensitrelvir Contraindicada
- Colchicine + Levoketoconazole Contraindicada
- Colchicine + Nirmatrelvir Contraindicada
Outras interações de Chloramphenicol
Perguntas frequentes
Can I take Chloramphenicol with Colchicine?
MediHelp rates the interaction as major. Chloramphenicol and Colchicine 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. Chloramphenicol can inhibit CYP3A4 and may raise colchicine concentrations. Higher exposure raises the risk of colchicine toxicity including GI effects, myopathy and bone marrow suppression.
How serious is the interaction between Chloramphenicol and Colchicine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce the colchicine dose or avoid the combination, and monitor for toxicity and blood counts. Avoid it altogether in renal or hepatic impairment.
What other medicines interact with Colchicine?
MediHelp also lists interactions of Colchicine with, for example, Clarithromycin, Cobicistat, Cyclosporine. The full list is on the Colchicine page.
Monografias completas, posologia e verificador de interações no app MediHelp
Abra a referência completa, verifique interações entre vários medicamentos e use as ferramentas de posologia no app MediHelp.
