藥物交互作用
Alosetron + Mexiletine
嚴重程度: 嚴重
Alosetron and Mexiletine: major interaction.
最後更新
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摘要
Alosetron is cleared largely by CYP1A2, and inhibitors can raise its levels substantially. Increased exposure raises the risk of ischemic colitis and serious constipation complications. Mexiletine inhibits CYP1A2.
用白話說明這項交互作用的意義
Alosetron and Mexiletine 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.
Alosetron belongs to Gastrointestinal Tract; Mexiletine belongs to Cardiovascular.
為什麼會發生
Mexiletine inhibits CYP1A2-mediated alosetron metabolism.
處置方式
Avoid the combination where possible; if used, monitor closely for constipation, abdominal pain and rectal bleeding and stop alosetron promptly if they occur.
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?
Mexiletine 的其他交互作用
Alosetron 的其他交互作用
常見問題
Can I take Alosetron with Mexiletine?
MediHelp rates the interaction as major. Alosetron and Mexiletine 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. Alosetron is cleared largely by CYP1A2, and inhibitors can raise its levels substantially. Increased exposure raises the risk of ischemic colitis and serious constipation complications. Mexiletine inhibits CYP1A2.
How serious is the interaction between Alosetron and Mexiletine?
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 closely for constipation, abdominal pain and rectal bleeding and stop alosetron promptly if they occur.
What other medicines interact with Mexiletine?
MediHelp also lists interactions of Mexiletine with, for example, Fezolinetant, Pimozide, Amiodarone. The full list is on the Mexiletine 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。
