Interações medicamentosas
Clarithromycin + Pasireotide
Gravidade: Grave
Clarithromycin and Pasireotide: 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
Both drugs can prolong the QT interval, and pasireotide also causes bradycardia. Together they may increase the risk of torsades de pointes, particularly with electrolyte disturbance or heart disease.
O que esta interação significa em palavras simples
Clarithromycin and Pasireotide 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.
Clarithromycin belongs to Anti Bacterial; Pasireotide belongs to Endocrine.
Por que acontece
Additive QT prolongation, with pasireotide-induced bradycardia adding to the arrhythmic risk.
O que fazer
Check ECG and electrolytes at baseline and correct potassium and magnesium deficits. Monitor QTc during co-therapy, or choose a non-QT-prolonging antibiotic.
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 Clarithromycin e Pasireotide, 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 14 dias na web. Sem cartão.
Outras interações de Clarithromycin
- Astemizole + Clarithromycin Contraindicada
- Avanafil + Clarithromycin Contraindicada
- Cisapride + Clarithromycin Contraindicada
- Clarithromycin + Colchicine Contraindicada
- Clarithromycin + Conivaptan Contraindicada
- Clarithromycin + Dihydroergotamine Contraindicada
Outras interações de Pasireotide
- Dronedarone + Pasireotide Contraindicada
- Pasireotide + Pimozide Contraindicada
- Amiodarone + Pasireotide Grave
- Amisulpride + Pasireotide Grave
- Amitriptyline + Pasireotide Grave
- Anagrelide + Pasireotide Grave
Perguntas frequentes
Can I take Clarithromycin with Pasireotide?
MediHelp rates the interaction as major. Clarithromycin and Pasireotide 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. Both drugs can prolong the QT interval, and pasireotide also causes bradycardia. Together they may increase the risk of torsades de pointes, particularly with electrolyte disturbance or heart disease.
How serious is the interaction between Clarithromycin and Pasireotide?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check ECG and electrolytes at baseline and correct potassium and magnesium deficits. Monitor QTc during co-therapy, or choose a non-QT-prolonging antibiotic.
What other medicines interact with Clarithromycin?
MediHelp also lists interactions of Clarithromycin with, for example, Astemizole, Avanafil, Cisapride. The full list is on the Clarithromycin 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.
