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藥物交互作用

Demeclocycline + Isotretinoin

嚴重程度: 禁忌併用

Demeclocycline and Isotretinoin: 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

Both isotretinoin and tetracyclines such as demeclocycline can independently cause raised intracranial pressure. Combined use increases the risk of pseudotumor cerebri, with headache, visual disturbance and papilledema, and potential permanent vision loss.

用白話說明這項交互作用的意義

Demeclocycline and Isotretinoin 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.

證據等級: Moderate

為什麼會發生

Additive pharmacodynamic effect on intracranial pressure; exact mechanism not established.

處置方式

Avoid concurrent use; choose a non-tetracycline antibiotic. If headache or visual symptoms develop, stop both and obtain urgent ophthalmologic evaluation.

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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常見問題

Can I take Demeclocycline with Isotretinoin?

MediHelp rates the interaction as contraindicated. Demeclocycline and Isotretinoin 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. Both isotretinoin and tetracyclines such as demeclocycline can independently cause raised intracranial pressure. Combined use increases the risk of pseudotumor cerebri, with headache, visual disturbance and papilledema, and potential permanent vision loss.

How serious is the interaction between Demeclocycline and Isotretinoin?

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 concurrent use; choose a non-tetracycline antibiotic. If headache or visual symptoms develop, stop both and obtain urgent ophthalmologic evaluation.

What other medicines interact with Isotretinoin?

MediHelp also lists interactions of Isotretinoin with, for example, Minocycline, Oxytetracycline, Palovarotene. The full list is on the Isotretinoin page.

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