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藥物交互作用

Buprenorphine + Pimozide

嚴重程度: 禁忌併用

Buprenorphine and Pimozide: contraindicated 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

Buprenorphine can lengthen the QT interval, particularly at higher doses or in the transdermal form, and pimozide is a strongly QT-prolonging antipsychotic. The combination increases the risk of torsades de pointes.

用白話說明這項交互作用的意義

Buprenorphine and Pimozide are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Buprenorphine belongs to Musculoskeletal; Pimozide belongs to Central Nervous System.

證據等級: Moderate

為什麼會發生

Additive QTc prolongation

處置方式

Avoid; use a non-QT-prolonging alternative to the antipsychotic or analgesic and monitor ECG if unavoidable.

可向藥師詢問的問題

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Buprenorphine 與 Pimozide 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 Buprenorphine with Pimozide?

MediHelp rates the interaction as contraindicated. Buprenorphine and Pimozide are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Buprenorphine can lengthen the QT interval, particularly at higher doses or in the transdermal form, and pimozide is a strongly QT-prolonging antipsychotic. The combination increases the risk of torsades de pointes.

How serious is the interaction between Buprenorphine and Pimozide?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid; use a non-QT-prolonging alternative to the antipsychotic or analgesic and monitor ECG if unavoidable.

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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