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藥物交互作用

Atracurium + Magnesium

嚴重程度: 中度

Atracurium and Magnesium: 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

Parenteral magnesium sulfate potentiates and prolongs neuromuscular blockade from atracurium. This may lead to delayed recovery and prolonged respiratory muscle weakness.

用白話說明這項交互作用的意義

Atracurium and Magnesium 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.

Atracurium belongs to Musculoskeletal; Magnesium belongs to Gastrointestinal Tract.

證據等級: High

為什麼會發生

Magnesium reduces presynaptic acetylcholine release and lowers postsynaptic sensitivity, adding to nondepolarizing blockade.

處置方式

Reduce neuromuscular blocker dose and monitor with train-of-four. Be prepared for prolonged ventilatory support.

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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常見問題

Can I take Atracurium with Magnesium?

MediHelp rates the interaction as moderate. Atracurium and Magnesium 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. Parenteral magnesium sulfate potentiates and prolongs neuromuscular blockade from atracurium. This may lead to delayed recovery and prolonged respiratory muscle weakness.

How serious is the interaction between Atracurium and Magnesium?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce neuromuscular blocker dose and monitor with train-of-four. Be prepared for prolonged ventilatory support.

What other medicines interact with Magnesium?

MediHelp also lists interactions of Magnesium with, for example, Ciprofloxacin, Pancuronium, Rocuronium. The full list is on the Magnesium page.

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