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藥物交互作用

Arsenic trioxide + Indacaterol-glycopyrronium

嚴重程度: 嚴重

Arsenic trioxide and Indacaterol-glycopyrronium: 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 markedly prolongs the QT interval and has caused torsade de pointes. Adding indacaterol, which can influence repolarization, heart rate and potassium levels, may add to the arrhythmic risk.

用白話說明這項交互作用的意義

Arsenic trioxide and Indacaterol-glycopyrronium 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; Indacaterol-glycopyrronium belongs to Respiratory.

證據等級: Moderate

為什麼會發生

Additive QT prolongation, with beta2-agonist induced hypokalemia worsening arrhythmia susceptibility.

處置方式

Prefer alternative bronchodilators during arsenic trioxide therapy if feasible. If combined, keep potassium and magnesium replete and monitor ECG regularly.

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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常見問題

Can I take Arsenic trioxide with Indacaterol-glycopyrronium?

MediHelp rates the interaction as major. Arsenic trioxide and Indacaterol-glycopyrronium 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 markedly prolongs the QT interval and has caused torsade de pointes. Adding indacaterol, which can influence repolarization, heart rate and potassium levels, may add to the arrhythmic risk.

How serious is the interaction between Arsenic trioxide and Indacaterol-glycopyrronium?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Prefer alternative bronchodilators during arsenic trioxide therapy if feasible. If combined, keep potassium and magnesium replete and monitor ECG regularly.

What other medicines interact with Indacaterol-glycopyrronium?

MediHelp also lists interactions of Indacaterol-glycopyrronium with, for example, Amisulpride, Arformoterol, Betaxolol. The full list is on the Indacaterol-glycopyrronium page.

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