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藥物交互作用

Ibutilide + Quinine

嚴重程度: 禁忌併用

Ibutilide and Quinine: 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

Both drugs prolong the QT interval, and ibutilide carries a high intrinsic risk of torsades de pointes. Adding quinine increases the risk of life-threatening ventricular arrhythmia.

用白話說明這項交互作用的意義

Ibutilide and Quinine 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.

Ibutilide belongs to Cardiovascular; Quinine belongs to Anti Parasitic.

證據等級: Moderate

為什麼會發生

Additive QT prolongation through potassium channel blockade.

處置方式

Avoid the combination. Choose a non-QT-prolonging antimalarial or alternative cardioversion approach.

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 Ibutilide 與 Quinine 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 Ibutilide with Quinine?

MediHelp rates the interaction as contraindicated. Ibutilide and Quinine 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. Both drugs prolong the QT interval, and ibutilide carries a high intrinsic risk of torsades de pointes. Adding quinine increases the risk of life-threatening ventricular arrhythmia.

How serious is the interaction between Ibutilide and Quinine?

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 the combination. Choose a non-QT-prolonging antimalarial or alternative cardioversion approach.

What other medicines interact with Quinine?

MediHelp also lists interactions of Quinine with, for example, Arsenic trioxide, Dofetilide, Dronedarone. The full list is on the Quinine page.

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