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藥物交互作用

Arsenic trioxide + Granisetron

嚴重程度: 嚴重

Arsenic trioxide and Granisetron: major 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

Arsenic trioxide has a boxed warning for QT prolongation, torsades de pointes and complete AV block. Granisetron can also lengthen the QT interval, so the combination increases arrhythmia risk.

用白話說明這項交互作用的意義

Arsenic trioxide and Granisetron can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Arsenic trioxide belongs to Oncology; Granisetron belongs to Gastrointestinal Tract.

證據等級: Moderate

為什麼會發生

Additive pharmacodynamic QT prolongation.

處置方式

Avoid other QT-prolonging drugs where possible and consider an antiemetic with less QT effect. If granisetron is needed, correct potassium and magnesium and monitor ECG throughout arsenic trioxide therapy.

可向藥師詢問的問題

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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

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  • 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 Arsenic trioxide with Granisetron?

MediHelp rates the interaction as major. Arsenic trioxide and Granisetron can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Arsenic trioxide has a boxed warning for QT prolongation, torsades de pointes and complete AV block. Granisetron can also lengthen the QT interval, so the combination increases arrhythmia risk.

How serious is the interaction between Arsenic trioxide and Granisetron?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid other QT-prolonging drugs where possible and consider an antiemetic with less QT effect. If granisetron is needed, correct potassium and magnesium and monitor ECG throughout arsenic trioxide therapy.

What other medicines interact with Granisetron?

MediHelp also lists interactions of Granisetron with, for example, Apomorphine, Amiodarone, Amisulpride. The full list is on the Granisetron page.

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