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藥物交互作用

Amitriptyline + Dexchlorpheniramine

嚴重程度: 中度

Amitriptyline and Dexchlorpheniramine: 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

Dexchlorpheniramine is a first-generation antihistamine with sedative and anticholinergic properties like amitriptyline. 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 Dexchlorpheniramine 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; Dexchlorpheniramine 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, especially in older patients. Switch to a non-sedating antihistamine if appropriate.

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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建立帳號並開始 Pro+ 試用,即可解鎖 Amitriptyline 與 Dexchlorpheniramine 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 Amitriptyline with Dexchlorpheniramine?

MediHelp rates the interaction as moderate. Amitriptyline and Dexchlorpheniramine 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. Dexchlorpheniramine is a first-generation antihistamine with sedative and anticholinergic properties like amitriptyline. Together they can increase drowsiness, dry mouth, urinary retention, and confusion.

How serious is the interaction between Amitriptyline and Dexchlorpheniramine?

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, especially in older patients. Switch to a non-sedating antihistamine if appropriate.

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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