دوا کے تعاملات
Clarithromycin + Colchicine
شدت: مانع استعمال
Clarithromycin and Colchicine: contraindicated interaction.
آخری تازہ کاری ماخذ: US FDA label
صرف صحت کے پیشہ ور افراد کے لیے — محض حوالے کے طور پر۔ یہ صفحہ مختصر خلاصہ ہے، طبی مشورہ نہیں، اور سرکاری لیبل یا طبی فیصلے کا متبادل نہیں۔ تجویز یا فراہمی سے پہلے ہمیشہ تصدیق کریں۔
اس صفحے کا طبی مواد صرف انگریزی میں دستیاب ہے۔
خلاصہ
Clarithromycin markedly increases colchicine exposure, and fatal colchicine toxicity has been reported with this combination. Presentations include severe gastrointestinal symptoms, myopathy, bone marrow suppression, multiorgan failure and death. Patients with renal or hepatic impairment and older adults are at greatest risk, but toxicity can occur even at standard colchicine doses.
اس تعامل کا آسان لفظوں میں مطلب
Clarithromycin and Colchicine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Clarithromycin belongs to Anti Bacterial; Colchicine belongs to Genitourinary.
ایسا کیوں ہوتا ہے
Clarithromycin inhibits both CYP3A4 and P-glycoprotein, reducing colchicine metabolism and efflux and raising systemic levels with a narrow therapeutic index.
کیا کرنا ہے
Avoid the combination, and choose a non-interacting antibiotic such as azithromycin or doxycycline where clinically appropriate. If a macrolide course is essential, withhold colchicine for the duration of treatment, and in patients with renal or hepatic impairment the combination should not be used at all.
فارماسسٹ سے کیا پوچھیں
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
Pro+ اراکین کے لیے
پورا صفحہ کھولیں
Clarithromycin اور Colchicine کے لیے مکمل طبی انتظام کی رہنمائی، اضافی نوٹس، شواہد کی تفصیل اور پورے نسخے کا تعامل چیکر کھولنے کے لیے اکاؤنٹ بنائیں اور Pro+ ٹرائل شروع کریں۔
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
ویب پر 14 دن تک Pro+ مفت آزمائیں۔ کارڈ کی ضرورت نہیں۔
حوالہ جات
Colchicine کے دیگر تعاملات
- Cobicistat + Colchicine مانع استعمال
- Colchicine + Cyclosporine مانع استعمال
- Colchicine + Ensitrelvir مانع استعمال
- Colchicine + Levoketoconazole مانع استعمال
- Colchicine + Nirmatrelvir مانع استعمال
- Colchicine + Nirmatrelvir / ritonavir مانع استعمال
Clarithromycin کے دیگر تعاملات
- Astemizole + Clarithromycin مانع استعمال
- Avanafil + Clarithromycin مانع استعمال
- Cisapride + Clarithromycin مانع استعمال
- Clarithromycin + Conivaptan مانع استعمال
- Clarithromycin + Dihydroergotamine مانع استعمال
- Clarithromycin + Dihydroergotamine intranasal مانع استعمال
اکثر پوچھے جانے والے سوالات
Can I take Clarithromycin with Colchicine?
MediHelp rates the interaction as contraindicated. Clarithromycin and Colchicine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Clarithromycin markedly increases colchicine exposure, and fatal colchicine toxicity has been reported with this combination. Presentations include severe gastrointestinal symptoms, myopathy, bone marrow suppression, multiorgan failure and death. Patients with renal or hepatic impairment and older adults are at greatest risk, but toxicity can occur even at standard colchicine doses.
How serious is the interaction between Clarithromycin and Colchicine?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination, and choose a non-interacting antibiotic such as azithromycin or doxycycline where clinically appropriate. If a macrolide course is essential, withhold colchicine for the duration of treatment, and in patients with renal or hepatic impairment the combination should not be used at all.
What other medicines interact with Colchicine?
MediHelp also lists interactions of Colchicine with, for example, Cobicistat, Cyclosporine, Ensitrelvir. The full list is on the Colchicine page.
MediHelp ایپ میں مکمل مونوگراف، خوراک اور تعامل چیکر
MediHelp ایپ میں مکمل حوالہ کھولیں، متعدد ادویات کے تعاملات جانچیں اور خوراک کے ٹولز استعمال کریں۔
