Interações medicamentosas
Clomipramine + Pefloxacin
Gravidade: Moderada
Clomipramine and Pefloxacin: moderate interaction.
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Resumo
Pefloxacin inhibits CYP1A2, one of the pathways metabolising clomipramine, so levels may rise and cause tricyclic adverse effects. Fluoroquinolones can also prolong the QT interval and lower the seizure threshold.
O que esta interação significa em palavras simples
Clomipramine and Pefloxacin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Clomipramine belongs to Central Nervous System; Pefloxacin belongs to Anti Bacterial.
Por que acontece
CYP1A2 inhibition by pefloxacin reduces clomipramine clearance, with additive QT and seizure-threshold effects.
O que fazer
Monitor for anticholinergic, cardiac and neurological toxicity and consider an ECG; choose a non-quinolone antibiotic if possible.
O que perguntar ao farmacêutico
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Outras interações de Clomipramine
- Arsenic trioxide + Clomipramine Contraindicada
- Clomipramine + Dofetilide Contraindicada
- Clomipramine + Droperidol Contraindicada
- Clomipramine + Isocarboxazid Contraindicada
- Clomipramine + Methylene blue Contraindicada
- Clomipramine + Pentamidine Contraindicada
Outras interações de Pefloxacin
- Pefloxacin + Tizanidine Contraindicada
- Clozapine + Pefloxacin Grave
- Duloxetine + Pefloxacin Grave
- Pefloxacin + Theophylline Grave
- Asenapine + Pefloxacin Moderada
- Caffeine + Pefloxacin Moderada
Perguntas frequentes
Can I take Clomipramine with Pefloxacin?
MediHelp rates the interaction as moderate. Clomipramine and Pefloxacin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Pefloxacin inhibits CYP1A2, one of the pathways metabolising clomipramine, so levels may rise and cause tricyclic adverse effects. Fluoroquinolones can also prolong the QT interval and lower the seizure threshold.
How serious is the interaction between Clomipramine and Pefloxacin?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for anticholinergic, cardiac and neurological toxicity and consider an ECG; choose a non-quinolone antibiotic if possible.
What other medicines interact with Clomipramine?
MediHelp also lists interactions of Clomipramine with, for example, Arsenic trioxide, Dofetilide, Droperidol. The full list is on the Clomipramine page.
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