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藥物交互作用

Atenolol + Atenolol-chlorthalidone

嚴重程度: 嚴重

Atenolol and Atenolol-chlorthalidone: 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

The combination product already contains atenolol, so adding atenolol duplicates therapy. This leads to excess beta-blockade, with bradycardia, hypotension and fatigue.

用白話說明這項交互作用的意義

Atenolol and Atenolol-chlorthalidone 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.

Atenolol belongs to Cardiovascular; Atenolol-chlorthalidone belongs to Cardiovascular.

證據等級: High

為什麼會發生

Therapeutic duplication of beta-1 adrenergic blockade leading to additive pharmacodynamic effects.

處置方式

Avoid concurrent use; prescribe a single atenolol-containing product and adjust the dose by heart rate and 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?

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

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  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Atenolol with Atenolol-chlorthalidone?

MediHelp rates the interaction as major. Atenolol and Atenolol-chlorthalidone 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. The combination product already contains atenolol, so adding atenolol duplicates therapy. This leads to excess beta-blockade, with bradycardia, hypotension and fatigue.

How serious is the interaction between Atenolol and Atenolol-chlorthalidone?

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 concurrent use; prescribe a single atenolol-containing product and adjust the dose by heart rate and blood pressure.

What other medicines interact with Atenolol-chlorthalidone?

MediHelp also lists interactions of Atenolol-chlorthalidone with, for example, Acebutolol, Aldesleukin, Amiodarone. The full list is on the Atenolol-chlorthalidone page.

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