Interações medicamentosas
Clozapine + Dicyclomine
Gravidade: Grave
Clozapine and Dicyclomine: major interaction.
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Resumo
Clozapine is strongly anticholinergic and already causes severe constipation and gastrointestinal hypomotility. Adding dicyclomine raises the risk of serious constipation, ileus, urinary retention, tachycardia and delirium.
O que esta interação significa em palavras simples
Clozapine and Dicyclomine 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.
Clozapine belongs to Central Nervous System; Dicyclomine belongs to Respiratory.
Por que acontece
Additive muscarinic receptor blockade leading to reduced gastrointestinal motility and other anticholinergic effects.
O que fazer
Avoid the combination where possible; if used, monitor bowel function closely, treat constipation early, and reassess the need for dicyclomine.
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 Dicyclomine
- Dicyclomine + Henbane Grave
- Dicyclomine + Imipramine Grave
- Dicyclomine + Pramlintide Grave
- Abobotulinumtoxina + Dicyclomine Moderada
- Aclidinium + Dicyclomine Moderada
- Amantadine + Dicyclomine Moderada
Outras interações de Clozapine
- Clozapine + Deferiprone Contraindicada
- Clozapine + Irinotecan Contraindicada
- Clozapine + Pimozide Contraindicada
- Clozapine + Thioridazine Contraindicada
- Acalabrutinib + Clozapine Grave
- Adagrasib + Clozapine Grave
Perguntas frequentes
Can I take Clozapine with Dicyclomine?
MediHelp rates the interaction as major. Clozapine and Dicyclomine 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. Clozapine is strongly anticholinergic and already causes severe constipation and gastrointestinal hypomotility. Adding dicyclomine raises the risk of serious constipation, ileus, urinary retention, tachycardia and delirium.
How serious is the interaction between Clozapine and Dicyclomine?
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 the combination where possible; if used, monitor bowel function closely, treat constipation early, and reassess the need for dicyclomine.
What other medicines interact with Dicyclomine?
MediHelp also lists interactions of Dicyclomine with, for example, Henbane, Imipramine, Pramlintide. The full list is on the Dicyclomine page.
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