藥物交互作用
Acemetacin + Amiloride
嚴重程度: 嚴重
Acemetacin and Amiloride: major interaction.
最後更新
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摘要
Acemetacin, an NSAID, can reduce renal prostaglandins and impair potassium excretion, adding to amiloride's potassium retention. It may also reduce the diuretic and antihypertensive effects and raise the risk of acute kidney injury.
用白話說明這項交互作用的意義
Acemetacin and Amiloride 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.
為什麼會發生
NSAID-induced suppression of renin-aldosterone and renal prostaglandins reduces potassium and sodium excretion, combined with amiloride's ENaC blockade.
處置方式
Avoid the combination where possible, especially in CKD or the elderly. If needed, monitor potassium, creatinine and blood pressure closely.
可向藥師詢問的問題
- 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?
Amiloride 的其他交互作用
常見問題
Can I take Acemetacin with Amiloride?
MediHelp rates the interaction as major. Acemetacin and Amiloride 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. Acemetacin, an NSAID, can reduce renal prostaglandins and impair potassium excretion, adding to amiloride's potassium retention. It may also reduce the diuretic and antihypertensive effects and raise the risk of acute kidney injury.
How serious is the interaction between Acemetacin and Amiloride?
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, especially in CKD or the elderly. If needed, monitor potassium, creatinine and blood pressure closely.
What other medicines interact with Amiloride?
MediHelp also lists interactions of Amiloride with, for example, Eplerenone, Spironolactone, Triamterene. The full list is on the Amiloride page.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
在 MediHelp App 中開啟完整參考資料、檢查多種藥物間的交互作用，並使用劑量工具。
