藥物交互作用
Dobutamine + Ether
嚴重程度: 嚴重
Dobutamine and Ether: major interaction.
最後更新
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摘要
Diethyl ether and other halogenated anesthetics can sensitize the myocardium to catecholamines. Giving dobutamine during such anesthesia may provoke ventricular arrhythmias and blood pressure swings. Ether is rarely used today, and its flammability adds to the concern.
用白話說明這項交互作用的意義
Dobutamine and Ether can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
為什麼會發生
Anesthetic sensitization of the myocardium to beta-adrenergic stimulation lowers the arrhythmia threshold.
處置方式
Use a different anesthetic agent in patients needing catecholamine inotropes. If unavoidable, use the lowest dobutamine dose with continuous ECG and blood pressure monitoring.
可向藥師詢問的問題
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
Dobutamine 的其他交互作用
常見問題
Can I take Dobutamine with Ether?
MediHelp rates the interaction as major. Dobutamine and Ether can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Diethyl ether and other halogenated anesthetics can sensitize the myocardium to catecholamines. Giving dobutamine during such anesthesia may provoke ventricular arrhythmias and blood pressure swings. Ether is rarely used today, and its flammability adds to the concern.
How serious is the interaction between Dobutamine and Ether?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use a different anesthetic agent in patients needing catecholamine inotropes. If unavoidable, use the lowest dobutamine dose with continuous ECG and blood pressure monitoring.
What other medicines interact with Dobutamine?
MediHelp also lists interactions of Dobutamine with, for example, Budesonide-formoterol, Dihydroergotamine intranasal, Dihydroergotamine. The full list is on the Dobutamine page.
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