藥物交互作用
Clozapine + Scopolamine
嚴重程度: 嚴重
Clozapine and Scopolamine: major interaction.
最後更新
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摘要
Clozapine is strongly anticholinergic, and scopolamine adds to this burden. The combination raises the risk of constipation that can progress to ileus, urinary retention, delirium and tachycardia, and sedation is additive.
用白話說明這項交互作用的意義
Clozapine and Scopolamine 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; Scopolamine belongs to Respiratory.
為什麼會發生
Additive muscarinic receptor blockade with reduced gastrointestinal motility, plus additive sedation.
處置方式
Avoid the combination where possible, and if used monitor bowel function closely and for delirium and urinary retention. Treat constipation early and reconsider scopolamine if gut hypomotility appears.
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?
Scopolamine 的其他交互作用
Clozapine 的其他交互作用
常見問題
Can I take Clozapine with Scopolamine?
MediHelp rates the interaction as major. Clozapine and Scopolamine 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 scopolamine adds to this burden. The combination raises the risk of constipation that can progress to ileus, urinary retention, delirium and tachycardia, and sedation is additive.
How serious is the interaction between Clozapine and Scopolamine?
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, and if used monitor bowel function closely and for delirium and urinary retention. Treat constipation early and reconsider scopolamine if gut hypomotility appears.
What other medicines interact with Scopolamine?
MediHelp also lists interactions of Scopolamine with, for example, Benzhydrocodone / acetaminophen, Buprenorphine long-acting, Buprenorphine subdermal implant. The full list is on the Scopolamine 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。
