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藥物交互作用

Buprenorphine + Eluxadoline

嚴重程度: 嚴重

Buprenorphine and Eluxadoline: 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

Eluxadoline is a mu-opioid agonist used for diarrhea-predominant IBS and can cause severe constipation and pancreatitis-related events. Adding buprenorphine, which also slows gut transit, increases the risk of serious constipation and related complications.

用白話說明這項交互作用的意義

Buprenorphine and Eluxadoline 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.

Buprenorphine belongs to Musculoskeletal; Eluxadoline belongs to Gastrointestinal Tract.

證據等級: Moderate

為什麼會發生

Additive opioid-receptor mediated reduction in gastrointestinal motility.

處置方式

Avoid combining where possible; the eluxadoline label advises against use with other drugs that cause constipation. If both are required, monitor bowel function closely and stop eluxadoline if severe constipation develops.

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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  • 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 Buprenorphine with Eluxadoline?

MediHelp rates the interaction as major. Buprenorphine and Eluxadoline 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. Eluxadoline is a mu-opioid agonist used for diarrhea-predominant IBS and can cause severe constipation and pancreatitis-related events. Adding buprenorphine, which also slows gut transit, increases the risk of serious constipation and related complications.

How serious is the interaction between Buprenorphine and Eluxadoline?

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; the eluxadoline label advises against use with other drugs that cause constipation. If both are required, monitor bowel function closely and stop eluxadoline if severe constipation develops.

What other medicines interact with Buprenorphine?

MediHelp also lists interactions of Buprenorphine with, for example, Alvimopan, Calcium / magnesium / potassium / sodium oxybates, Olanzapine / samidorphan. The full list is on the Buprenorphine page.

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