藥物交互作用
Arsenic trioxide + Quinine
嚴重程度: 禁忌併用
Arsenic trioxide and Quinine: contraindicated interaction.
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摘要
Arsenic trioxide causes marked QT prolongation and torsades de pointes, and quinine adds to this effect. The combination may result in life-threatening arrhythmias.
用白話說明這項交互作用的意義
Arsenic trioxide and Quinine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Arsenic trioxide belongs to Oncology; Quinine belongs to Anti Parasitic.
為什麼會發生
Additive pharmacodynamic QT prolongation through cardiac potassium channel effects.
處置方式
Avoid the combination; use a non-QT-prolonging antimalarial or cramp treatment during arsenic trioxide therapy. If quinine is essential for severe malaria, monitor ECG continuously and keep electrolytes corrected.
可向藥師詢問的問題
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
Quinine 的其他交互作用
- Dofetilide + Quinine 禁忌併用
- Dronedarone + Quinine 禁忌併用
- Ibutilide + Quinine 禁忌併用
- Mefloquine + Quinine 禁忌併用
- Nilotinib + Quinine 禁忌併用
- Pimozide + Quinine 禁忌併用
Arsenic trioxide 的其他交互作用
常見問題
Can I take Arsenic trioxide with Quinine?
MediHelp rates the interaction as contraindicated. Arsenic trioxide and Quinine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Arsenic trioxide causes marked QT prolongation and torsades de pointes, and quinine adds to this effect. The combination may result in life-threatening arrhythmias.
How serious is the interaction between Arsenic trioxide and Quinine?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination; use a non-QT-prolonging antimalarial or cramp treatment during arsenic trioxide therapy. If quinine is essential for severe malaria, monitor ECG continuously and keep electrolytes corrected.
What other medicines interact with Quinine?
MediHelp also lists interactions of Quinine with, for example, Dofetilide, Dronedarone, Ibutilide. The full list is on the Quinine 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。