藥物交互作用
Cocaine + Dextroamphetamine
嚴重程度: 嚴重
Cocaine and Dextroamphetamine: 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
Both drugs increase synaptic monoamines and have sympathomimetic effects. Combined use can increase blood pressure and heart rate and the risk of arrhythmia, and systemic absorption from topical medical cocaine is limited but can be significant on mucosal surfaces. Illicit or high-dose cocaine use would carry a greater risk.
用白話說明這項交互作用的意義
Cocaine and Dextroamphetamine 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.
Cocaine belongs to Central Nervous System; Dextroamphetamine belongs to Central Nervous System.
為什麼會發生
Additive monoamine reuptake inhibition (cocaine) and release (amphetamine), producing sympathomimetic and serotonergic effects.
處置方式
Avoid using cocaine in patients taking dextroamphetamine where alternative anesthetics exist. If it is used, monitor blood pressure, heart rate and ECG and limit the dose.
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?
Dextroamphetamine 的其他交互作用
Cocaine 的其他交互作用
常見問題
Can I take Cocaine with Dextroamphetamine?
MediHelp rates the interaction as major. Cocaine and Dextroamphetamine 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. Both drugs increase synaptic monoamines and have sympathomimetic effects. Combined use can increase blood pressure and heart rate and the risk of arrhythmia, and systemic absorption from topical medical cocaine is limited but can be significant on mucosal surfaces. Illicit or high-dose cocaine use would carry a greater risk.
How serious is the interaction between Cocaine and Dextroamphetamine?
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 using cocaine in patients taking dextroamphetamine where alternative anesthetics exist. If it is used, monitor blood pressure, heart rate and ECG and limit the dose.
What other medicines interact with Dextroamphetamine?
MediHelp also lists interactions of Dextroamphetamine with, for example, Isocarboxazid, Linezolid, Methylene blue. The full list is on the Dextroamphetamine 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。
