Interações medicamentosas
Oxybutynin + Rivastigmine
Gravidade: Grave
Oxybutynin and Rivastigmine: 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
Rivastigmine, a cholinesterase inhibitor, and oxybutynin, a muscarinic antagonist, have opposing actions. Oxybutynin may reduce the cognitive benefit of rivastigmine and worsen confusion in dementia.
O que esta interação significa em palavras simples
Oxybutynin and Rivastigmine 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.
Oxybutynin belongs to Genitourinary; Rivastigmine belongs to Central Nervous System.
Por que acontece
Pharmacodynamic antagonism between cholinesterase inhibition and muscarinic receptor blockade.
O que fazer
Avoid oxybutynin in patients taking cholinesterase inhibitors; use a non-anticholinergic option such as mirabegron for bladder 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 Oxybutynin e Rivastigmine, 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
- Clozapine + Oxybutynin Grave
- Oxybutynin + Potassium chloride Grave
- Oxybutynin + Trihexyphenidyl Grave
- Abobotulinumtoxina + Oxybutynin Moderada
- Aclidinium + Oxybutynin Moderada
Outras interações de Rivastigmine
Perguntas frequentes
Can I take Oxybutynin with Rivastigmine?
MediHelp rates the interaction as major. Oxybutynin and Rivastigmine 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. Rivastigmine, a cholinesterase inhibitor, and oxybutynin, a muscarinic antagonist, have opposing actions. Oxybutynin may reduce the cognitive benefit of rivastigmine and worsen confusion in dementia.
How serious is the interaction between Oxybutynin and Rivastigmine?
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 oxybutynin in patients taking cholinesterase inhibitors; use a non-anticholinergic option such as mirabegron for bladder symptoms.
What other medicines interact with Oxybutynin?
MediHelp also lists interactions of Oxybutynin with, for example, Bethanechol, Clozapine, Potassium chloride. 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.
