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藥物交互作用

Amitriptyline + Atropine

嚴重程度: 中度

Amitriptyline and Atropine: moderate 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 have antimuscarinic activity, so combined use can produce additive effects such as dry mouth, constipation, urinary retention, blurred vision and tachycardia. Older patients and those with glaucoma or prostatic hyperplasia are at particular risk.

用白話說明這項交互作用的意義

Amitriptyline and Atropine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amitriptyline belongs to Central Nervous System; Atropine belongs to Miscellaneous.

證據等級: Moderate

為什麼會發生

Additive blockade of muscarinic acetylcholine receptors.

處置方式

Monitor for anticholinergic toxicity such as urinary retention, ileus, confusion and tachycardia. Use the lowest effective doses or choose a less anticholinergic alternative in high-risk patients.

可向藥師詢問的問題

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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

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常見問題

Can I take Amitriptyline with Atropine?

MediHelp rates the interaction as moderate. Amitriptyline and Atropine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Both drugs have antimuscarinic activity, so combined use can produce additive effects such as dry mouth, constipation, urinary retention, blurred vision and tachycardia. Older patients and those with glaucoma or prostatic hyperplasia are at particular risk.

How serious is the interaction between Amitriptyline and Atropine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for anticholinergic toxicity such as urinary retention, ileus, confusion and tachycardia. Use the lowest effective doses or choose a less anticholinergic alternative in high-risk patients.

What other medicines interact with Amitriptyline?

MediHelp also lists interactions of Amitriptyline with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Amitriptyline page.

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