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藥物交互作用

Dexamethasone + Mifepristone

嚴重程度: 禁忌併用

Dexamethasone and Mifepristone: 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

Mifepristone is a glucocorticoid receptor antagonist, so it can block the effect of dexamethasone and precipitate adrenal insufficiency in patients who depend on corticosteroid therapy. Reduced corticosteroid effect may also worsen the underlying condition being treated.

用白話說明這項交互作用的意義

Dexamethasone and Mifepristone 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.

Dexamethasone belongs to Endocrine; Mifepristone belongs to Endocrine.

證據等級: Moderate

為什麼會發生

Glucocorticoid receptor antagonism by mifepristone opposes corticosteroid effect

處置方式

Mifepristone labelling contraindicates it in patients on long-term corticosteroids; avoid, or use an alternative route and monitor for adrenal insufficiency symptoms.

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.

Pro+ 會員專屬

解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Dexamethasone 與 Mifepristone 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Dexamethasone with Mifepristone?

MediHelp rates the interaction as contraindicated. Dexamethasone and Mifepristone 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. Mifepristone is a glucocorticoid receptor antagonist, so it can block the effect of dexamethasone and precipitate adrenal insufficiency in patients who depend on corticosteroid therapy. Reduced corticosteroid effect may also worsen the underlying condition being treated.

How serious is the interaction between Dexamethasone and Mifepristone?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Mifepristone labelling contraindicates it in patients on long-term corticosteroids; avoid, or use an alternative route and monitor for adrenal insufficiency symptoms.

What other medicines interact with Dexamethasone?

MediHelp also lists interactions of Dexamethasone with, for example, Bcg vaccine live, Rilpivirine, Smallpox vaccine live. The full list is on the Dexamethasone page.

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