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藥物交互作用

Amitriptyline + Carbinoxamine

嚴重程度: 中度

Amitriptyline and Carbinoxamine: 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

Carbinoxamine is a sedating antihistamine with anticholinergic properties, and amitriptyline has the same type of effects. Together they can increase drowsiness, dry mouth, urinary retention, and confusion.

用白話說明這項交互作用的意義

Amitriptyline and Carbinoxamine 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; Carbinoxamine belongs to Respiratory.

證據等級: Moderate

為什麼會發生

Additive CNS depression and antimuscarinic effects.

處置方式

Monitor for sedation and anticholinergic effects, and avoid in older patients where possible. Consider a non-sedating antihistamine as an alternative.

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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  • Additional notes
  • Evidence detail
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常見問題

Can I take Amitriptyline with Carbinoxamine?

MediHelp rates the interaction as moderate. Amitriptyline and Carbinoxamine 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. Carbinoxamine is a sedating antihistamine with anticholinergic properties, and amitriptyline has the same type of effects. Together they can increase drowsiness, dry mouth, urinary retention, and confusion.

How serious is the interaction between Amitriptyline and Carbinoxamine?

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 sedation and anticholinergic effects, and avoid in older patients where possible. Consider a non-sedating antihistamine as an alternative.

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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