Interações medicamentosas
Clindamycin + Pancuronium
Gravidade: Grave
Clindamycin and Pancuronium: 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
Clindamycin can potentiate non-depolarising muscle relaxants such as pancuronium and prolong the blockade. Delayed recovery and respiratory depression have been reported, and the effect may not be fully reversed by anticholinesterases.
O que esta interação significa em palavras simples
Clindamycin and Pancuronium 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.
Clindamycin belongs to Anti Bacterial; Pancuronium belongs to Musculoskeletal.
Por que acontece
Clindamycin has intrinsic neuromuscular blocking activity at pre- and postsynaptic sites that adds to pancuronium.
O que fazer
Titrate pancuronium with train-of-four monitoring and keep ventilatory support available until recovery is complete. Consider an alternative antibiotic if feasible.
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?
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Outras interações de Pancuronium
Outras interações de Clindamycin
Perguntas frequentes
Can I take Clindamycin with Pancuronium?
MediHelp rates the interaction as major. Clindamycin and Pancuronium 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. Clindamycin can potentiate non-depolarising muscle relaxants such as pancuronium and prolong the blockade. Delayed recovery and respiratory depression have been reported, and the effect may not be fully reversed by anticholinesterases.
How serious is the interaction between Clindamycin and Pancuronium?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Titrate pancuronium with train-of-four monitoring and keep ventilatory support available until recovery is complete. Consider an alternative antibiotic if feasible.
What other medicines interact with Pancuronium?
MediHelp also lists interactions of Pancuronium with, for example, Amikacin, Bacitracin-neomycin-polymyxin, Capreomycin. The full list is on the Pancuronium page.
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