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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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.
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?
Granisetron 的其他交互作用
Arsenic trioxide 的其他交互作用
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.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
在 MediHelp App 中開啟完整參考資料、檢查多種藥物間的交互作用,並使用劑量工具。