藥物交互作用
Clozapine + Dicyclomine
嚴重程度: 嚴重
Clozapine and Dicyclomine: major interaction.
最後更新
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本頁的臨床內容僅提供英文版。
摘要
Clozapine is strongly anticholinergic and already causes severe constipation and gastrointestinal hypomotility. Adding dicyclomine raises the risk of serious constipation, ileus, urinary retention, tachycardia and delirium.
用白話說明這項交互作用的意義
Clozapine and Dicyclomine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Clozapine belongs to Central Nervous System; Dicyclomine belongs to Respiratory.
為什麼會發生
Additive muscarinic receptor blockade leading to reduced gastrointestinal motility and other anticholinergic effects.
處置方式
Avoid the combination where possible; if used, monitor bowel function closely, treat constipation early, and reassess the need for dicyclomine.
可向藥師詢問的問題
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
Dicyclomine 的其他交互作用
Clozapine 的其他交互作用
常見問題
Can I take Clozapine with Dicyclomine?
MediHelp rates the interaction as major. Clozapine and Dicyclomine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Clozapine is strongly anticholinergic and already causes severe constipation and gastrointestinal hypomotility. Adding dicyclomine raises the risk of serious constipation, ileus, urinary retention, tachycardia and delirium.
How serious is the interaction between Clozapine and Dicyclomine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible; if used, monitor bowel function closely, treat constipation early, and reassess the need for dicyclomine.
What other medicines interact with Dicyclomine?
MediHelp also lists interactions of Dicyclomine with, for example, Henbane, Imipramine, Pramlintide. The full list is on the Dicyclomine 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。
