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藥物交互作用

Azelastine + Methadone

嚴重程度: 嚴重

Azelastine and Methadone: 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

Azelastine may intensify methadone-related sedation and respiratory depression. Methadone has a long, variable half-life, so excess CNS depression can emerge and persist.

用白話說明這項交互作用的意義

Azelastine and Methadone 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.

Azelastine belongs to Respiratory; Methadone belongs to Musculoskeletal.

證據等級: Moderate

為什麼會發生

Additive CNS and respiratory depression from H1-antagonist sedation and mu-opioid agonism.

處置方式

Monitor sedation and respiratory status, particularly at initiation and dose changes. Avoid other CNS depressants and consider a non-sedating antihistamine alternative.

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.

Pro+ 會員專屬

解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Azelastine 與 Methadone 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 Azelastine with Methadone?

MediHelp rates the interaction as major. Azelastine and Methadone 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. Azelastine may intensify methadone-related sedation and respiratory depression. Methadone has a long, variable half-life, so excess CNS depression can emerge and persist.

How serious is the interaction between Azelastine and Methadone?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor sedation and respiratory status, particularly at initiation and dose changes. Avoid other CNS depressants and consider a non-sedating antihistamine alternative.

What other medicines interact with Azelastine?

MediHelp also lists interactions of Azelastine with, for example, Calcium / magnesium / potassium / sodium oxybates, Sodium oxybate, Alfentanil. The full list is on the Azelastine page.

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