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藥物交互作用

Amifostine + Clonidine

嚴重程度: 嚴重

Amifostine and Clonidine: major 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

Amifostine commonly causes hypotension, and antihypertensives such as clonidine can increase its frequency and severity. At chemotherapy doses this can cause significant hemodynamic compromise.

用白話說明這項交互作用的意義

Amifostine and Clonidine 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.

Amifostine belongs to Miscellaneous; Clonidine belongs to Cardiovascular.

證據等級: Moderate

為什麼會發生

Additive blood pressure lowering through central sympatholytic action and amifostine-induced hypotension.

處置方式

For chemotherapeutic doses of amifostine, hold clonidine for 24 hours beforehand where safely possible; if it cannot be held, do not give amifostine. Avoid abrupt clonidine withdrawal without a plan for rebound hypertension.

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?

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

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建立帳號並開始 Pro+ 試用,即可解鎖 Amifostine 與 Clonidine 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Amifostine with Clonidine?

MediHelp rates the interaction as major. Amifostine and Clonidine 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. Amifostine commonly causes hypotension, and antihypertensives such as clonidine can increase its frequency and severity. At chemotherapy doses this can cause significant hemodynamic compromise.

How serious is the interaction between Amifostine and Clonidine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: For chemotherapeutic doses of amifostine, hold clonidine for 24 hours beforehand where safely possible; if it cannot be held, do not give amifostine. Avoid abrupt clonidine withdrawal without a plan for rebound hypertension.

What other medicines interact with Clonidine?

MediHelp also lists interactions of Clonidine with, for example, Acebutolol, Amiodarone, Amoxapine. The full list is on the Clonidine page.

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