藥物交互作用
Asenapine + Carbidopa-levodopa
嚴重程度: 嚴重
Asenapine and Carbidopa-levodopa: major interaction.
最後更新
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
Asenapine blocks dopamine receptors and may antagonize the antiparkinsonian effect of levodopa, while both drugs can cause orthostatic hypotension. The combination may worsen parkinsonian symptoms and increase dizziness or falls.
用白話說明這項交互作用的意義
Asenapine and Carbidopa-levodopa 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.
Asenapine belongs to Central Nervous System; Carbidopa-levodopa belongs to Central Nervous System.
為什麼會發生
Pharmacodynamic antagonism at dopamine D2 receptors, plus additive orthostatic hypotension through alpha-1 blockade and levodopa effects.
處置方式
Avoid in Parkinson disease if possible, preferring low-D2-affinity agents such as quetiapine or clozapine when an antipsychotic is needed; monitor motor function and orthostatic blood pressure.
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?
Carbidopa-levodopa 的其他交互作用
Asenapine 的其他交互作用
常見問題
Can I take Asenapine with Carbidopa-levodopa?
MediHelp rates the interaction as major. Asenapine and Carbidopa-levodopa 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. Asenapine blocks dopamine receptors and may antagonize the antiparkinsonian effect of levodopa, while both drugs can cause orthostatic hypotension. The combination may worsen parkinsonian symptoms and increase dizziness or falls.
How serious is the interaction between Asenapine and Carbidopa-levodopa?
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 in Parkinson disease if possible, preferring low-D2-affinity agents such as quetiapine or clozapine when an antipsychotic is needed; monitor motor function and orthostatic blood pressure.
What other medicines interact with Carbidopa-levodopa?
MediHelp also lists interactions of Carbidopa-levodopa with, for example, Isocarboxazid, Phenelzine, Selegiline transdermal. The full list is on the Carbidopa-levodopa 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。
