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藥物交互作用

Digoxin + Paricalcitol

嚴重程度: 中度

Digoxin and Paricalcitol: 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

Vitamin D analogues can cause hypercalcemia, which potentiates digoxin's effects on the myocardium and may precipitate arrhythmias. The risk is highest with excessive paricalcitol dosing or calcium supplements.

用白話說明這項交互作用的意義

Digoxin and Paricalcitol 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.

Digoxin belongs to Cardiovascular; Paricalcitol belongs to Musculoskeletal.

證據等級: Moderate

為什麼會發生

Paricalcitol-induced hypercalcemia increases myocardial sensitivity to digoxin.

處置方式

Monitor serum calcium and adjust paricalcitol dose to avoid hypercalcemia; monitor ECG and for digoxin toxicity.

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 Digoxin 與 Paricalcitol 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 Digoxin with Paricalcitol?

MediHelp rates the interaction as moderate. Digoxin and Paricalcitol 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. Vitamin D analogues can cause hypercalcemia, which potentiates digoxin's effects on the myocardium and may precipitate arrhythmias. The risk is highest with excessive paricalcitol dosing or calcium supplements.

How serious is the interaction between Digoxin and Paricalcitol?

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 serum calcium and adjust paricalcitol dose to avoid hypercalcemia; monitor ECG and for digoxin toxicity.

What other medicines interact with Digoxin?

MediHelp also lists interactions of Digoxin with, for example, Lily of the valley, Squill, Adagrasib. The full list is on the Digoxin page.

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