藥物交互作用
Calcium / magnesium / potassium / sodium oxybates + Diazepam
嚴重程度: 禁忌併用
Calcium / magnesium / potassium / sodium oxybates and Diazepam: contraindicated interaction.
最後更新 來源: US FDA label
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摘要
Oxybates are potent CNS depressants, and combined with a benzodiazepine they can cause profound sedation, respiratory depression, coma and death. Labeling advises against combining them with sedative hypnotics.
用白話說明這項交互作用的意義
Calcium / magnesium / potassium / sodium oxybates and Diazepam 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.
為什麼會發生
Additive CNS and respiratory depression via GABA-A potentiation and GABA-B/GHB receptor activation.
處置方式
Avoid concomitant use; if a benzodiazepine is unavoidable, consider an alternative to oxybate or stopping one agent. Monitor consciousness and breathing closely if exposure cannot be avoided.
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?
參考資料
Diazepam 的其他交互作用
常見問題
Can I take Calcium / magnesium / potassium / sodium oxybates with Diazepam?
MediHelp rates the interaction as contraindicated. Calcium / magnesium / potassium / sodium oxybates and Diazepam 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. Oxybates are potent CNS depressants, and combined with a benzodiazepine they can cause profound sedation, respiratory depression, coma and death. Labeling advises against combining them with sedative hypnotics.
How serious is the interaction between Calcium / magnesium / potassium / sodium oxybates and Diazepam?
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 concomitant use; if a benzodiazepine is unavoidable, consider an alternative to oxybate or stopping one agent. Monitor consciousness and breathing closely if exposure cannot be avoided.
What other medicines interact with Diazepam?
MediHelp also lists interactions of Diazepam with, for example, Alfentanil, Alprazolam, Amobarbital. The full list is on the Diazepam page.
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