藥物交互作用
Calcifediol + Captopril-hydrochlorothiazide
嚴重程度: 中度
Calcifediol and Captopril-hydrochlorothiazide: moderate 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
Thiazide diuretics reduce urinary calcium excretion, and calcifediol increases calcium absorption from the gut. Together they can produce hypercalcemia, which may cause nausea, confusion, arrhythmias and kidney problems.
用白話說明這項交互作用的意義
Calcifediol and Captopril-hydrochlorothiazide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Calcifediol belongs to Musculoskeletal; Captopril-hydrochlorothiazide belongs to Cardiovascular.
為什麼會發生
Hydrochlorothiazide enhances renal calcium reabsorption while calcifediol (a vitamin D metabolite) increases intestinal calcium absorption, producing additive rises in serum calcium.
處置方式
Measure serum calcium at baseline and periodically during combined therapy, especially in patients with renal impairment. Reduce the calcifediol dose or stop the thiazide if hypercalcemia develops.
可向藥師詢問的問題
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
Captopril-hydrochlorothiazide 的其他交互作用
Calcifediol 的其他交互作用
常見問題
Can I take Calcifediol with Captopril-hydrochlorothiazide?
MediHelp rates the interaction as moderate. Calcifediol and Captopril-hydrochlorothiazide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Thiazide diuretics reduce urinary calcium excretion, and calcifediol increases calcium absorption from the gut. Together they can produce hypercalcemia, which may cause nausea, confusion, arrhythmias and kidney problems.
How serious is the interaction between Calcifediol and Captopril-hydrochlorothiazide?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Measure serum calcium at baseline and periodically during combined therapy, especially in patients with renal impairment. Reduce the calcifediol dose or stop the thiazide if hypercalcemia develops.
What other medicines interact with Captopril-hydrochlorothiazide?
MediHelp also lists interactions of Captopril-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Sacubitril / valsartan. The full list is on the Captopril-hydrochlorothiazide page.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
在 MediHelp App 中開啟完整參考資料、檢查多種藥物間的交互作用，並使用劑量工具。
