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藥物交互作用

Baclofen + Buprenorphine buccal

嚴重程度: 嚴重

Baclofen and Buprenorphine buccal: major interaction.

最後更新

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

Opioids combined with other CNS depressants such as baclofen can cause profound sedation, respiratory depression, coma and death. The risk is greatest at the start of therapy and with higher doses.

用白話說明這項交互作用的意義

Baclofen and Buprenorphine buccal 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.

證據等級: High

為什麼會發生

Additive CNS and respiratory depression from opioid receptor agonism and GABA-B agonism.

處置方式

Reserve the combination for patients with no alternative, using the lowest effective doses and the shortest duration. Monitor respiratory rate and sedation closely, and counsel patients and caregivers about warning signs.

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 Baclofen 與 Buprenorphine buccal 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 Baclofen with Buprenorphine buccal?

MediHelp rates the interaction as major. Baclofen and Buprenorphine buccal 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. Opioids combined with other CNS depressants such as baclofen can cause profound sedation, respiratory depression, coma and death. The risk is greatest at the start of therapy and with higher doses.

How serious is the interaction between Baclofen and Buprenorphine buccal?

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 with no alternative, using the lowest effective doses and the shortest duration. Monitor respiratory rate and sedation closely, and counsel patients and caregivers about warning signs.

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.

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