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Interações medicamentosas

Clozapine + Methimazole

Gravidade: Grave

Clozapine and Methimazole: major interaction.

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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 cause agranulocytosis, and using them together may increase the risk of serious neutropenia and infection.

O que esta interação significa em palavras simples

Clozapine and Methimazole 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; Methimazole belongs to Endocrine.

Nível de evidência: Moderate

Por que acontece

Additive risk of bone marrow suppression and immune-mediated agranulocytosis.

O que fazer

Avoid the combination where possible, for example by using radioiodine or another treatment for hyperthyroidism. If used, monitor the absolute neutrophil count closely and stop for neutropenia.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Perguntas frequentes

Can I take Clozapine with Methimazole?

MediHelp rates the interaction as major. Clozapine and Methimazole 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 cause agranulocytosis, and using them together may increase the risk of serious neutropenia and infection.

How serious is the interaction between Clozapine and Methimazole?

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, for example by using radioiodine or another treatment for hyperthyroidism. If used, monitor the absolute neutrophil count closely and stop for neutropenia.

What other medicines interact with Clozapine?

MediHelp also lists interactions of Clozapine with, for example, Deferiprone, Irinotecan, Pimozide. The full list is on the Clozapine page.

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