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藥物交互作用

Amiodarone + Clonidine

嚴重程度: 嚴重

Amiodarone 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

Both drugs slow heart rate and AV conduction. Used together they can cause marked bradycardia, sinus arrest or AV block, particularly in older patients or those with underlying conduction disease.

用白話說明這項交互作用的意義

Amiodarone 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.

Amiodarone belongs to Cardiovascular; Clonidine belongs to Cardiovascular.

證據等級: Moderate

為什麼會發生

Additive pharmacodynamic depression of sinus node and AV nodal function (central sympatholytic effect of clonidine plus amiodarone's antiarrhythmic effects).

處置方式

Monitor heart rate and ECG at initiation and after dose changes, and avoid the combination in patients with sinus node or AV conduction disease. Never stop clonidine abruptly because of 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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  • Additional notes
  • Evidence detail
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常見問題

Can I take Amiodarone with Clonidine?

MediHelp rates the interaction as major. Amiodarone 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. Both drugs slow heart rate and AV conduction. Used together they can cause marked bradycardia, sinus arrest or AV block, particularly in older patients or those with underlying conduction disease.

How serious is the interaction between Amiodarone 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: Monitor heart rate and ECG at initiation and after dose changes, and avoid the combination in patients with sinus node or AV conduction disease. Never stop clonidine abruptly because of rebound hypertension.

What other medicines interact with Clonidine?

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

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