藥物交互作用
Chloramphenicol + Vitamin B12
嚴重程度: 中度
Chloramphenicol and Vitamin B12: moderate interaction.
最後更新
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本頁的臨床內容僅提供英文版。
摘要
Chloramphenicol can suppress bone marrow, which may delay or blunt the hematologic response to vitamin B12 in patients being treated for pernicious or megaloblastic anemia. The effect is described in case reports and has clinical relevance mainly in deficient patients.
用白話說明這項交互作用的意義
Chloramphenicol and Vitamin B12 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.
Chloramphenicol belongs to Anti Bacterial; Vitamin B12 belongs to Gastrointestinal Tract.
為什麼會發生
Chloramphenicol-induced bone marrow suppression counteracts the erythropoietic response to B12 replacement.
處置方式
Monitor reticulocyte count and hemoglobin in B12-deficient patients receiving chloramphenicol. Use an alternative antibiotic if the expected hematologic response fails to appear.
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?
Vitamin B12 的其他交互作用
Chloramphenicol 的其他交互作用
常見問題
Can I take Chloramphenicol with Vitamin B12?
MediHelp rates the interaction as moderate. Chloramphenicol and Vitamin B12 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. Chloramphenicol can suppress bone marrow, which may delay or blunt the hematologic response to vitamin B12 in patients being treated for pernicious or megaloblastic anemia. The effect is described in case reports and has clinical relevance mainly in deficient patients.
How serious is the interaction between Chloramphenicol and Vitamin B12?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor reticulocyte count and hemoglobin in B12-deficient patients receiving chloramphenicol. Use an alternative antibiotic if the expected hematologic response fails to appear.
What other medicines interact with Vitamin B12?
MediHelp also lists interactions of Vitamin B12 with, for example, Dichlorphenamide, Metformin, Neomycin po. The full list is on the Vitamin B12 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。
