藥物交互作用
Dacomitinib + Imipramine
嚴重程度: 嚴重
Dacomitinib and Imipramine: 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
Dacomitinib strongly inhibits CYP2D6, which is a main route of imipramine metabolism, so tricyclic levels may increase. Higher exposure raises the risk of anticholinergic effects, sedation, arrhythmia and QT prolongation.
用白話說明這項交互作用的意義
Dacomitinib and Imipramine 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.
Dacomitinib belongs to Oncology; Imipramine belongs to Central Nervous System.
為什麼會發生
Dacomitinib inhibits CYP2D6, reducing imipramine clearance.
處置方式
Avoid if possible, or reduce the imipramine dose and monitor for toxicity. Consider ECG and tricyclic levels.
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?
Imipramine 的其他交互作用
Dacomitinib 的其他交互作用
常見問題
Can I take Dacomitinib with Imipramine?
MediHelp rates the interaction as major. Dacomitinib and Imipramine 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. Dacomitinib strongly inhibits CYP2D6, which is a main route of imipramine metabolism, so tricyclic levels may increase. Higher exposure raises the risk of anticholinergic effects, sedation, arrhythmia and QT prolongation.
How serious is the interaction between Dacomitinib and Imipramine?
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 if possible, or reduce the imipramine dose and monitor for toxicity. Consider ECG and tricyclic levels.
What other medicines interact with Imipramine?
MediHelp also lists interactions of Imipramine with, for example, Dronedarone, Isocarboxazid, Phenelzine. The full list is on the Imipramine 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。
