藥物交互作用
Fosphenytoin + Sodium valproate
嚴重程度: 嚴重
Fosphenytoin and Sodium valproate: major interaction.
最後更新
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摘要
Valproate displaces phenytoin from protein binding and inhibits its metabolism, changing free phenytoin levels. The combination has also been linked to hyperammonemia and encephalopathy.
用白話說明這項交互作用的意義
Fosphenytoin and Sodium valproate 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.
Fosphenytoin belongs to Central Nervous System; Sodium valproate belongs to Central Nervous System.
為什麼會發生
Protein-binding displacement and metabolic inhibition alter phenytoin exposure, and valproate impairs ammonia detoxification.
處置方式
Monitor free phenytoin concentrations and ammonia if there is lethargy or confusion, adjusting doses as needed.
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?
Fosphenytoin 的其他交互作用
Sodium valproate 的其他交互作用
常見問題
Can I take Fosphenytoin with Sodium valproate?
MediHelp rates the interaction as major. Fosphenytoin and Sodium valproate 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. Valproate displaces phenytoin from protein binding and inhibits its metabolism, changing free phenytoin levels. The combination has also been linked to hyperammonemia and encephalopathy.
How serious is the interaction between Fosphenytoin and Sodium valproate?
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 free phenytoin concentrations and ammonia if there is lethargy or confusion, adjusting doses as needed.
What other medicines interact with Fosphenytoin?
MediHelp also lists interactions of Fosphenytoin with, for example, Dronedarone, Ledipasvir-sofosbuvir, Lorlatinib. The full list is on the Fosphenytoin page.
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