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藥物交互作用

Amitriptyline + Glycopyrronium

嚴重程度: 中度

Amitriptyline and Glycopyrronium: 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

Amitriptyline has substantial anticholinergic activity that adds to glycopyrronium. This can cause marked dry mouth, constipation, urinary retention, tachycardia and cognitive impairment.

用白話說明這項交互作用的意義

Amitriptyline and Glycopyrronium 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; Glycopyrronium belongs to Respiratory.

證據等級: Moderate

為什麼會發生

Additive antimuscarinic effects at cholinergic receptors.

處置方式

Monitor for anticholinergic toxicity, especially in older adults or those with glaucoma or urinary obstruction, and consider an alternative antidepressant or lower doses.

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 Glycopyrronium?

MediHelp rates the interaction as moderate. Amitriptyline and Glycopyrronium 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 has substantial anticholinergic activity that adds to glycopyrronium. This can cause marked dry mouth, constipation, urinary retention, tachycardia and cognitive impairment.

How serious is the interaction between Amitriptyline and Glycopyrronium?

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, especially in older adults or those with glaucoma or urinary obstruction, and consider an alternative antidepressant or lower doses.

What other medicines interact with Glycopyrronium?

MediHelp also lists interactions of Glycopyrronium with, for example, Clozapine, Abobotulinumtoxina, Aclidinium. The full list is on the Glycopyrronium page.

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