藥物交互作用
Baclofen + Benzhydrocodone / acetaminophen
嚴重程度: 嚴重
Baclofen and Benzhydrocodone / acetaminophen: major interaction.
最後更新
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摘要
Combining baclofen with an opioid such as benzhydrocodone adds to central nervous system and respiratory depression. Profound sedation, respiratory depression, coma and death can occur, especially at higher doses or in vulnerable patients.
用白話說明這項交互作用的意義
Baclofen and Benzhydrocodone / acetaminophen 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.
為什麼會發生
Additive pharmacodynamic CNS depression from opioid receptor agonism and GABA-B agonism by baclofen.
處置方式
Reserve the combination for patients without adequate alternatives, using the lowest effective doses for the shortest duration. Monitor closely for sedation and respiratory depression, particularly at initiation and after dose increases.
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?
Baclofen 的其他交互作用
常見問題
Can I take Baclofen with Benzhydrocodone / acetaminophen?
MediHelp rates the interaction as major. Baclofen and Benzhydrocodone / acetaminophen 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. Combining baclofen with an opioid such as benzhydrocodone adds to central nervous system and respiratory depression. Profound sedation, respiratory depression, coma and death can occur, especially at higher doses or in vulnerable patients.
How serious is the interaction between Baclofen and Benzhydrocodone / acetaminophen?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reserve the combination for patients without adequate alternatives, using the lowest effective doses for the shortest duration. Monitor closely for sedation and respiratory depression, particularly at initiation and after dose increases.
What other medicines interact with Baclofen?
MediHelp also lists interactions of Baclofen with, for example, Alfentanil, Amobarbital, Belladonna and opium. The full list is on the Baclofen 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。