藥物交互作用
Dextroamphetamine + Sodium bicarbonate
嚴重程度: 中度
Dextroamphetamine and Sodium bicarbonate: moderate interaction.
最後更新
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摘要
Sodium bicarbonate alkalinizes the urine, which reduces the renal elimination of amphetamines. Dextroamphetamine exposure and duration of action can rise, increasing the risk of stimulant adverse effects such as tachycardia, hypertension, agitation and insomnia.
用白話說明這項交互作用的意義
Dextroamphetamine and Sodium bicarbonate 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.
Dextroamphetamine belongs to Central Nervous System; Sodium bicarbonate belongs to Gastrointestinal Tract.
為什麼會發生
Urinary alkalinization increases the non-ionized fraction of dextroamphetamine, enhancing tubular reabsorption and reducing renal clearance.
處置方式
Monitor heart rate, blood pressure and signs of stimulant excess when systemic alkalinizing agents are used regularly. Consider reducing the dextroamphetamine dose if symptoms of overstimulation appear.
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?
Dextroamphetamine 的其他交互作用
Sodium bicarbonate 的其他交互作用
常見問題
Can I take Dextroamphetamine with Sodium bicarbonate?
MediHelp rates the interaction as moderate. Dextroamphetamine and Sodium bicarbonate 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. Sodium bicarbonate alkalinizes the urine, which reduces the renal elimination of amphetamines. Dextroamphetamine exposure and duration of action can rise, increasing the risk of stimulant adverse effects such as tachycardia, hypertension, agitation and insomnia.
How serious is the interaction between Dextroamphetamine and Sodium bicarbonate?
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 heart rate, blood pressure and signs of stimulant excess when systemic alkalinizing agents are used regularly. Consider reducing the dextroamphetamine dose if symptoms of overstimulation appear.
What other medicines interact with Dextroamphetamine?
MediHelp also lists interactions of Dextroamphetamine with, for example, Isocarboxazid, Linezolid, Methylene blue. The full list is on the Dextroamphetamine 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。