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藥物交互作用

Belladonna and opium + Clorazepate

嚴重程度: 嚴重

Belladonna and opium and Clorazepate: 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 opium component adds opioid effects to the benzodiazepine, risking profound sedation, respiratory depression and death. Belladonna alkaloids add anticholinergic confusion.

用白話說明這項交互作用的意義

Belladonna and opium and Clorazepate 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-A potentiation.

處置方式

Avoid combining where possible; if necessary, use the lowest effective doses for the shortest duration and monitor respiratory status and sedation. Counsel patients and caregivers on warning signs of overdose.

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

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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 Belladonna and opium with Clorazepate?

MediHelp rates the interaction as major. Belladonna and opium and Clorazepate 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 opium component adds opioid effects to the benzodiazepine, risking profound sedation, respiratory depression and death. Belladonna alkaloids add anticholinergic confusion.

How serious is the interaction between Belladonna and opium and Clorazepate?

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 combining where possible; if necessary, use the lowest effective doses for the shortest duration and monitor respiratory status and sedation. Counsel patients and caregivers on warning signs of overdose.

What other medicines interact with Clorazepate?

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

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