藥物交互作用
Amiodarone + Donepezil
嚴重程度: 嚴重
Amiodarone and Donepezil: major interaction.
最後更新
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摘要
Donepezil can prolong the QT interval and cause bradycardia, and amiodarone has similar effects. Combined use raises the risk of syncope and torsades de pointes.
用白話說明這項交互作用的意義
Amiodarone and Donepezil 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; Donepezil belongs to Central Nervous System.
為什麼會發生
Additive QT prolongation and bradycardia (pharmacodynamic).
處置方式
Monitor ECG and heart rate, and correct electrolytes. Consider stopping donepezil if the QTc lengthens or bradycardia or syncope occurs.
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?
Amiodarone 的其他交互作用
Donepezil 的其他交互作用
常見問題
Can I take Amiodarone with Donepezil?
MediHelp rates the interaction as major. Amiodarone and Donepezil 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. Donepezil can prolong the QT interval and cause bradycardia, and amiodarone has similar effects. Combined use raises the risk of syncope and torsades de pointes.
How serious is the interaction between Amiodarone and Donepezil?
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 ECG and heart rate, and correct electrolytes. Consider stopping donepezil if the QTc lengthens or bradycardia or syncope occurs.
What other medicines interact with Amiodarone?
MediHelp also lists interactions of Amiodarone with, for example, Amisulpride, Arsenic trioxide, Dofetilide. The full list is on the Amiodarone 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。
