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藥物交互作用

Dexbrompheniramine + Fentanyl

嚴重程度: 中度

Dexbrompheniramine and Fentanyl: moderate 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

Dexbrompheniramine is a sedating antihistamine that adds to fentanyl's CNS depression. The combination can cause marked drowsiness and impaired psychomotor function, and respiratory depression is possible with higher doses.

用白話說明這項交互作用的意義

Dexbrompheniramine and Fentanyl 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.

Dexbrompheniramine belongs to Respiratory; Fentanyl belongs to Musculoskeletal.

證據等級: Moderate

為什麼會發生

Additive CNS depression from an opioid and a sedating first-generation antihistamine.

處置方式

Use the lowest effective doses and monitor for sedation and respiratory depression. Advise patients to avoid alcohol and driving.

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?

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 Dexbrompheniramine 與 Fentanyl 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 Dexbrompheniramine with Fentanyl?

MediHelp rates the interaction as moderate. Dexbrompheniramine and Fentanyl 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. Dexbrompheniramine is a sedating antihistamine that adds to fentanyl's CNS depression. The combination can cause marked drowsiness and impaired psychomotor function, and respiratory depression is possible with higher doses.

How serious is the interaction between Dexbrompheniramine and Fentanyl?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective doses and monitor for sedation and respiratory depression. Advise patients to avoid alcohol and driving.

What other medicines interact with Fentanyl?

MediHelp also lists interactions of Fentanyl with, for example, Alvimopan, Isocarboxazid, Olanzapine / samidorphan. The full list is on the Fentanyl page.

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