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藥物交互作用

Clonazepam + Sodium oxybate

嚴重程度: 禁忌併用

Clonazepam and Sodium oxybate: contraindicated interaction.

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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

Sodium oxybate is a strong CNS depressant and combining it with a benzodiazepine increases the risk of profound sedation, respiratory depression, coma and death. Labeling advises against concomitant use with sedative hypnotics.

用白話說明這項交互作用的意義

Clonazepam and Sodium oxybate 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.

Clonazepam belongs to Central Nervous System; Sodium oxybate belongs to Central Nervous System.

證據等級: High

為什麼會發生

Additive CNS and respiratory depression via GABA-B agonism from oxybate and GABA-A potentiation from clonazepam.

處置方式

Avoid the combination and choose an alternative to the benzodiazepine. If unavoidable, use minimal doses with close monitoring of consciousness and breathing.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Clonazepam 與 Sodium oxybate 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Clonazepam with Sodium oxybate?

MediHelp rates the interaction as contraindicated. Clonazepam and Sodium oxybate 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. Sodium oxybate is a strong CNS depressant and combining it with a benzodiazepine increases the risk of profound sedation, respiratory depression, coma and death. Labeling advises against concomitant use with sedative hypnotics.

How serious is the interaction between Clonazepam and Sodium oxybate?

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 alternative to the benzodiazepine. If unavoidable, use minimal doses with close monitoring of consciousness and breathing.

What other medicines interact with Clonazepam?

MediHelp also lists interactions of Clonazepam with, for example, Calcium / magnesium / potassium / sodium oxybates, Alfentanil, Alprazolam. The full list is on the Clonazepam page.

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