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藥物交互作用

Amisulpride + Atomoxetine

嚴重程度: 嚴重

Amisulpride and Atomoxetine: 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 can prolong the QT interval, so combined use may raise the risk of torsades de pointes, particularly with electrolyte disturbances or cardiac disease. Amisulpride has a clear dose-related QT effect.

用白話說明這項交互作用的意義

Amisulpride and Atomoxetine 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.

Amisulpride belongs to Central Nervous System; Atomoxetine belongs to Central Nervous System.

證據等級: Low

為什麼會發生

Additive QT prolongation, with amisulpride blocking cardiac hERG potassium channels and atomoxetine having a smaller effect.

處置方式

Avoid if possible; otherwise obtain a baseline ECG, correct potassium and magnesium, and monitor the QTc during therapy.

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 Amisulpride 與 Atomoxetine 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 Amisulpride with Atomoxetine?

MediHelp rates the interaction as major. Amisulpride and Atomoxetine 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 can prolong the QT interval, so combined use may raise the risk of torsades de pointes, particularly with electrolyte disturbances or cardiac disease. Amisulpride has a clear dose-related QT effect.

How serious is the interaction between Amisulpride and Atomoxetine?

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 if possible; otherwise obtain a baseline ECG, correct potassium and magnesium, and monitor the QTc during therapy.

What other medicines interact with Atomoxetine?

MediHelp also lists interactions of Atomoxetine with, for example, Isocarboxazid, Linezolid, Phenelzine. The full list is on the Atomoxetine page.

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