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Interações medicamentosas

Dantrolene + Diamorphine

Gravidade: Grave

Dantrolene and Diamorphine: major interaction.

Última atualização Fontes: UK SmPC

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

Diamorphine (heroin) is a strong opioid that depresses consciousness and breathing, and dantrolene can add drowsiness and muscle weakness. The combination may increase the risk of oversedation and respiratory compromise.

O que esta interação significa em palavras simples

Dantrolene and Diamorphine 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.

Nível de evidência: Moderate

Por que acontece

Additive CNS and respiratory depression from opioid effects plus dantrolene sedation and muscle weakness.

O que fazer

Use the lowest effective diamorphine dose and titrate carefully, monitoring sedation level and respiratory rate. Reduce doses in elderly or respiratory-compromised patients.

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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Referências

Perguntas frequentes

Can I take Dantrolene with Diamorphine?

MediHelp rates the interaction as major. Dantrolene and Diamorphine 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. Diamorphine (heroin) is a strong opioid that depresses consciousness and breathing, and dantrolene can add drowsiness and muscle weakness. The combination may increase the risk of oversedation and respiratory compromise.

How serious is the interaction between Dantrolene and Diamorphine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective diamorphine dose and titrate carefully, monitoring sedation level and respiratory rate. Reduce doses in elderly or respiratory-compromised patients.

What other medicines interact with Dantrolene?

MediHelp also lists interactions of Dantrolene with, for example, Benzhydrocodone / acetaminophen, Buprenorphine long-acting, Buprenorphine subdermal implant. The full list is on the Dantrolene page.

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