藥物交互作用
Cilastatin-imipenem + Cyclosporine
嚴重程度: 中度
Cilastatin-imipenem and Cyclosporine: 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
Both imipenem and cyclosporine can lower the seizure threshold and cause neurotoxicity, and reports describe tremor, confusion and seizures when they are combined. Changes in cyclosporine concentrations have also been reported, though inconsistently.
用白話說明這項交互作用的意義
Cilastatin-imipenem and Cyclosporine 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.
為什麼會發生
Additive neurotoxic and proconvulsant effects; any effect on cyclosporine levels is not well established.
處置方式
Monitor for tremor, confusion and seizures, and check cyclosporine trough levels during and after imipenem therapy. Consider an alternative antibiotic if neurological symptoms develop.
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?
Cilastatin-imipenem 的其他交互作用
常見問題
Can I take Cilastatin-imipenem with Cyclosporine?
MediHelp rates the interaction as moderate. Cilastatin-imipenem and Cyclosporine 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. Both imipenem and cyclosporine can lower the seizure threshold and cause neurotoxicity, and reports describe tremor, confusion and seizures when they are combined. Changes in cyclosporine concentrations have also been reported, though inconsistently.
How serious is the interaction between Cilastatin-imipenem and Cyclosporine?
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 for tremor, confusion and seizures, and check cyclosporine trough levels during and after imipenem therapy. Consider an alternative antibiotic if neurological symptoms develop.
What other medicines interact with Cilastatin-imipenem?
MediHelp also lists interactions of Cilastatin-imipenem with, for example, Divalproex, Ganciclovir, Valproic acid. The full list is on the Cilastatin-imipenem 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。
