Interações medicamentosas
Clozapine + Oxybutynin
Gravidade: Grave
Clozapine and Oxybutynin: 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
Clozapine is highly anticholinergic, and combining it with oxybutynin raises the risk of constipation, which can progress to serious bowel hypomotility or ileus, as well as urinary retention, tachycardia and delirium. Clozapine-related gastrointestinal complications can be severe.
O que esta interação significa em palavras simples
Clozapine and Oxybutynin 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; Oxybutynin belongs to Genitourinary.
Por que acontece
Additive antimuscarinic effects on gut, bladder and central nervous system.
O que fazer
Avoid the combination where possible; if used, monitor bowel function closely and give laxatives proactively. Reassess the need for oxybutynin and consider non-anticholinergic options for urinary symptoms.
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 Clozapine e Oxybutynin, 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 Oxybutynin
- Bethanechol + Oxybutynin Grave
- Oxybutynin + Potassium chloride Grave
- Oxybutynin + Rivastigmine Grave
- Oxybutynin + Trihexyphenidyl Grave
- Abobotulinumtoxina + Oxybutynin Moderada
- Aclidinium + Oxybutynin 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 Oxybutynin?
MediHelp rates the interaction as major. Clozapine and Oxybutynin 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 highly anticholinergic, and combining it with oxybutynin raises the risk of constipation, which can progress to serious bowel hypomotility or ileus, as well as urinary retention, tachycardia and delirium. Clozapine-related gastrointestinal complications can be severe.
How serious is the interaction between Clozapine and Oxybutynin?
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 and give laxatives proactively. Reassess the need for oxybutynin and consider non-anticholinergic options for urinary symptoms.
What other medicines interact with Oxybutynin?
MediHelp also lists interactions of Oxybutynin with, for example, Bethanechol, Potassium chloride, Rivastigmine. The full list is on the Oxybutynin 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.
