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藥物交互作用

Belladonna and opium + Diazepam

嚴重程度: 嚴重

Belladonna and opium and Diazepam: major interaction.

最後更新 來源: US FDA label

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

Belladonna and opium suppositories contain an opioid, so combination with diazepam increases the risk of profound sedation, respiratory depression, coma and death. Opioid labeling carries a boxed warning for concomitant benzodiazepine use.

用白話說明這項交互作用的意義

Belladonna and opium and Diazepam 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 via opioid and GABA-A receptor activity.

處置方式

Avoid combining where possible, or use the lowest doses for the shortest time with close monitoring of sedation and breathing. 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.

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  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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參考資料

常見問題

Can I take Belladonna and opium with Diazepam?

MediHelp rates the interaction as major. Belladonna and opium and Diazepam 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. Belladonna and opium suppositories contain an opioid, so combination with diazepam increases the risk of profound sedation, respiratory depression, coma and death. Opioid labeling carries a boxed warning for concomitant benzodiazepine use.

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

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, or use the lowest doses for the shortest time with close monitoring of sedation and breathing. Counsel patients and caregivers about warning signs.

What other medicines interact with Diazepam?

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

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