藥物交互作用
Alprazolam + Amobarbital
嚴重程度: 嚴重
Alprazolam and Amobarbital: major interaction.
最後更新
僅供醫療專業人員參考。本頁為簡要摘要，並非醫療建議，亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。
本頁的臨床內容僅提供英文版。
摘要
Barbiturates and benzodiazepines together produce additive sedation and can cause profound respiratory depression. In addition, amobarbital induces CYP3A4 and can lower alprazolam concentrations, weakening its anxiolytic effect and complicating dose adjustments.
用白話說明這項交互作用的意義
Alprazolam and Amobarbital 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.
Alprazolam belongs to Central Nervous System; Amobarbital belongs to Central Nervous System.
為什麼會發生
Additive GABA-A mediated CNS depression plus CYP3A4 induction by amobarbital increasing alprazolam clearance.
處置方式
Avoid combining where possible; if needed, monitor respiratory status and level of consciousness and adjust alprazolam dose to clinical response. Re-evaluate doses if the barbiturate is stopped, as induction wanes.
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?
Alprazolam 的其他交互作用
Amobarbital 的其他交互作用
常見問題
Can I take Alprazolam with Amobarbital?
MediHelp rates the interaction as major. Alprazolam and Amobarbital 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. Barbiturates and benzodiazepines together produce additive sedation and can cause profound respiratory depression. In addition, amobarbital induces CYP3A4 and can lower alprazolam concentrations, weakening its anxiolytic effect and complicating dose adjustments.
How serious is the interaction between Alprazolam and Amobarbital?
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 combining where possible; if needed, monitor respiratory status and level of consciousness and adjust alprazolam dose to clinical response. Re-evaluate doses if the barbiturate is stopped, as induction wanes.
What other medicines interact with Alprazolam?
MediHelp also lists interactions of Alprazolam with, for example, Calcium / magnesium / potassium / sodium oxybates, Itraconazole, Ketoconazole. The full list is on the Alprazolam 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。
