藥物交互作用
Dexamethasone-neomycin-polymyxin + Glycerol phenylbutyrate
嚴重程度: 中度
Dexamethasone-neomycin-polymyxin and Glycerol phenylbutyrate: moderate interaction.
最後更新
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
Corticosteroids promote protein catabolism and may raise plasma ammonia, opposing the ammonia-lowering effect of glycerol phenylbutyrate in urea cycle disorders. This could precipitate hyperammonemia, which is dangerous.
用白話說明這項交互作用的意義
Dexamethasone-neomycin-polymyxin and Glycerol phenylbutyrate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Dexamethasone-neomycin-polymyxin belongs to Anti Bacterial; Glycerol phenylbutyrate belongs to Miscellaneous.
為什麼會發生
Corticosteroid-induced protein catabolism increases ammonia production, counteracting the nitrogen-scavenging effect.
處置方式
Monitor plasma ammonia closely when systemic dexamethasone is used. Adjust the glycerol phenylbutyrate dose as needed.
可向藥師詢問的問題
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
Dexamethasone-neomycin-polymyxin 的其他交互作用
Glycerol phenylbutyrate 的其他交互作用
常見問題
Can I take Dexamethasone-neomycin-polymyxin with Glycerol phenylbutyrate?
MediHelp rates the interaction as moderate. Dexamethasone-neomycin-polymyxin and Glycerol phenylbutyrate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Corticosteroids promote protein catabolism and may raise plasma ammonia, opposing the ammonia-lowering effect of glycerol phenylbutyrate in urea cycle disorders. This could precipitate hyperammonemia, which is dangerous.
How serious is the interaction between Dexamethasone-neomycin-polymyxin and Glycerol phenylbutyrate?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor plasma ammonia closely when systemic dexamethasone is used. Adjust the glycerol phenylbutyrate dose as needed.
What other medicines interact with Dexamethasone-neomycin-polymyxin?
MediHelp also lists interactions of Dexamethasone-neomycin-polymyxin with, for example, Ketorolac, Lapatinib, Levofloxacin. The full list is on the Dexamethasone-neomycin-polymyxin 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。