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Asenapine + Pefloxacin

嚴重程度: 中度

Asenapine and Pefloxacin: moderate 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

Pefloxacin inhibits CYP1A2, the main enzyme metabolizing asenapine, so asenapine exposure may increase. Higher levels could add to sedation, hypotension and QT prolongation, and pefloxacin itself can prolong the QT interval.

用白話說明這項交互作用的意義

Asenapine and Pefloxacin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Asenapine belongs to Central Nervous System; Pefloxacin belongs to Anti Bacterial.

證據等級: Low

為什麼會發生

Inhibition of CYP1A2-mediated asenapine metabolism, with possible additive QT prolongation.

處置方式

Monitor for sedation, hypotension and QT-related symptoms, and consider an ECG in patients with cardiac risk factors. Choose an antibiotic that does not inhibit CYP1A2 or prolong QT if possible.

可向藥師詢問的問題

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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建立帳號並開始 Pro+ 試用，即可解鎖 Asenapine 與 Pefloxacin 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription
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常見問題

Can I take Asenapine with Pefloxacin?

MediHelp rates the interaction as moderate. Asenapine and Pefloxacin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Pefloxacin inhibits CYP1A2, the main enzyme metabolizing asenapine, so asenapine exposure may increase. Higher levels could add to sedation, hypotension and QT prolongation, and pefloxacin itself can prolong the QT interval.

How serious is the interaction between Asenapine and Pefloxacin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for sedation, hypotension and QT-related symptoms, and consider an ECG in patients with cardiac risk factors. Choose an antibiotic that does not inhibit CYP1A2 or prolong QT if possible.

What other medicines interact with Asenapine?

MediHelp also lists interactions of Asenapine with, for example, Pimozide, Thioridazine, Vandetanib. The full list is on the Asenapine page.

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