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藥物交互作用

Amisulpride + Disopyramide

嚴重程度: 禁忌併用

Amisulpride and Disopyramide: contraindicated 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

Disopyramide is a class Ia antiarrhythmic that prolongs the QT interval and has caused torsades de pointes. Amisulpride adds further QT prolongation, so the combination markedly increases proarrhythmic risk.

用白話說明這項交互作用的意義

Amisulpride and Disopyramide are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Amisulpride belongs to Central Nervous System; Disopyramide belongs to Cardiovascular.

證據等級: Moderate

為什麼會發生

Additive QT prolongation through potassium channel blockade.

處置方式

Avoid the combination and select an antipsychotic or antiarrhythmic with lower QT risk. If unavoidable, monitor the ECG closely and correct potassium and magnesium.

可向藥師詢問的問題

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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

Pro+ 會員專屬

解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Amisulpride 與 Disopyramide 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 Disopyramide?

MediHelp rates the interaction as contraindicated. Amisulpride and Disopyramide are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Disopyramide is a class Ia antiarrhythmic that prolongs the QT interval and has caused torsades de pointes. Amisulpride adds further QT prolongation, so the combination markedly increases proarrhythmic risk.

How serious is the interaction between Amisulpride and Disopyramide?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination and select an antipsychotic or antiarrhythmic with lower QT risk. If unavoidable, monitor the ECG closely and correct potassium and magnesium.

What other medicines interact with Amisulpride?

MediHelp also lists interactions of Amisulpride with, for example, Amiodarone, Arsenic trioxide, Dofetilide. The full list is on the Amisulpride page.

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