藥物交互作用
Clomipramine + Dofetilide
嚴重程度: 禁忌併用
Clomipramine and Dofetilide: contraindicated interaction.
最後更新
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摘要
Both drugs prolong the QT interval, and dofetilide carries a substantial risk of torsades de pointes. Adding clomipramine can raise this risk further.
用白話說明這項交互作用的意義
Clomipramine and Dofetilide 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.
Clomipramine belongs to Central Nervous System; Dofetilide belongs to Cardiovascular.
為什麼會發生
Additive QT prolongation through potassium channel (hERG) blockade.
處置方式
Avoid the combination and choose an antidepressant with less QT effect. Correct potassium and magnesium disturbances in any patient on dofetilide.
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?
Clomipramine 的其他交互作用
Dofetilide 的其他交互作用
常見問題
Can I take Clomipramine with Dofetilide?
MediHelp rates the interaction as contraindicated. Clomipramine and Dofetilide 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. Both drugs prolong the QT interval, and dofetilide carries a substantial risk of torsades de pointes. Adding clomipramine can raise this risk further.
How serious is the interaction between Clomipramine and Dofetilide?
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 the combination and choose an antidepressant with less QT effect. Correct potassium and magnesium disturbances in any patient on dofetilide.
What other medicines interact with Clomipramine?
MediHelp also lists interactions of Clomipramine with, for example, Arsenic trioxide, Droperidol, Isocarboxazid. The full list is on the Clomipramine 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。