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藥物交互作用

Ephedrine + Oxytocin

嚴重程度: 嚴重

Ephedrine and Oxytocin: major 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

Oxytocin may cause hypotension, and ephedrine is often used to treat it, but when given after oxytocin a vasopressor can contribute to severe hypertension. This is recognized with oxytocic drugs and vasoconstrictors, particularly in the postpartum period.

用白話說明這項交互作用的意義

Ephedrine and Oxytocin 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.

Ephedrine belongs to Cardiovascular; Oxytocin belongs to Endocrine.

證據等級: Moderate

為什麼會發生

Additive pressor effects of sympathomimetic vasoconstriction with oxytocic-related vascular effects.

處置方式

Monitor blood pressure frequently and titrate ephedrine in small doses when used with oxytocin. Avoid combining with other vasoconstrictors where possible.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Ephedrine with Oxytocin?

MediHelp rates the interaction as major. Ephedrine and Oxytocin 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. Oxytocin may cause hypotension, and ephedrine is often used to treat it, but when given after oxytocin a vasopressor can contribute to severe hypertension. This is recognized with oxytocic drugs and vasoconstrictors, particularly in the postpartum period.

How serious is the interaction between Ephedrine and Oxytocin?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure frequently and titrate ephedrine in small doses when used with oxytocin. Avoid combining with other vasoconstrictors where possible.

What other medicines interact with Oxytocin?

MediHelp also lists interactions of Oxytocin with, for example, Carboprost tromethamine, Dinoprostone, Fexinidazole. The full list is on the Oxytocin page.

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