藥物交互作用
Artemether / lumefantrine + Granisetron
嚴重程度: 嚴重
Artemether / lumefantrine and Granisetron: major interaction.
最後更新
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摘要
Artemether/lumefantrine can prolong the QT interval, and granisetron has a similar effect. Combining them may increase the risk of torsades de pointes, and lumefantrine has a long half-life so the risk persists after the course ends.
用白話說明這項交互作用的意義
Artemether / lumefantrine 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.
為什麼會發生
Additive pharmacodynamic QT prolongation via cardiac potassium channel blockade.
處置方式
Avoid the combination where possible and choose a non-QT-prolonging antiemetic. If unavoidable, obtain an ECG and correct potassium and magnesium before and during treatment.
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
常見問題
Can I take Artemether / lumefantrine with Granisetron?
MediHelp rates the interaction as major. Artemether / lumefantrine 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. Artemether/lumefantrine can prolong the QT interval, and granisetron has a similar effect. Combining them may increase the risk of torsades de pointes, and lumefantrine has a long half-life so the risk persists after the course ends.
How serious is the interaction between Artemether / lumefantrine 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 the combination where possible and choose a non-QT-prolonging antiemetic. If unavoidable, obtain an ECG and correct potassium and magnesium before and during treatment.
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。
