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藥物交互作用

Amifampridine + Galantamine

嚴重程度: 中度

Amifampridine and Galantamine: moderate interaction.

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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

Both drugs increase cholinergic transmission, by cholinesterase inhibition and by potassium channel blockade with enhanced acetylcholine release respectively. Combined use may produce additive cholinergic effects such as abdominal cramping, diarrhea, salivation, bradycardia and bronchospasm. Amifampridine also lowers seizure threshold.

用白話說明這項交互作用的意義

Amifampridine and Galantamine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amifampridine belongs to Central Nervous System; Galantamine belongs to Central Nervous System.

證據等級: Low

為什麼會發生

Additive cholinergic effect: increased acetylcholine release plus reduced acetylcholine breakdown.

處置方式

Monitor for cholinergic adverse effects, heart rate and seizures, and reduce one agent if symptoms occur.

可向藥師詢問的問題

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Amifampridine with Galantamine?

MediHelp rates the interaction as moderate. Amifampridine and Galantamine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Both drugs increase cholinergic transmission, by cholinesterase inhibition and by potassium channel blockade with enhanced acetylcholine release respectively. Combined use may produce additive cholinergic effects such as abdominal cramping, diarrhea, salivation, bradycardia and bronchospasm. Amifampridine also lowers seizure threshold.

How serious is the interaction between Amifampridine and Galantamine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for cholinergic adverse effects, heart rate and seizures, and reduce one agent if symptoms occur.

What other medicines interact with Galantamine?

MediHelp also lists interactions of Galantamine with, for example, Memantine-donepezil, Physostigmine, Ponesimod. The full list is on the Galantamine page.

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