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藥物交互作用

Digoxin + Squill

嚴重程度: 禁忌併用

Digoxin and Squill: contraindicated 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

Squill contains cardiac glycosides (scilliroside-type bufadienolides) with digoxin-like activity. Combined use produces additive effects and a high risk of digitalis toxicity, including arrhythmias, nausea and visual disturbances.

用白話說明這項交互作用的意義

Digoxin and Squill 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.

證據等級: Moderate

為什麼會發生

Additive inhibition of Na+/K+-ATPase from the glycosides in squill and digoxin.

處置方式

Avoid squill in patients taking digoxin. If exposure has occurred, check digoxin level, potassium and ECG.

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 Digoxin 與 Squill 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

在網頁版免費試用 Pro+ 14 天,無需信用卡。

常見問題

Can I take Digoxin with Squill?

MediHelp rates the interaction as contraindicated. Digoxin and Squill 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. Squill contains cardiac glycosides (scilliroside-type bufadienolides) with digoxin-like activity. Combined use produces additive effects and a high risk of digitalis toxicity, including arrhythmias, nausea and visual disturbances.

How serious is the interaction between Digoxin and Squill?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid squill in patients taking digoxin. If exposure has occurred, check digoxin level, potassium and ECG.

What other medicines interact with Digoxin?

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

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