藥物交互作用
Imipramine + Pefloxacin
嚴重程度: 中度
Imipramine and Pefloxacin: moderate interaction.
最後更新
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摘要
Pefloxacin inhibits CYP1A2, one of the pathways metabolizing imipramine, so tricyclic levels may increase. Fluoroquinolones can also lower seizure threshold and prolong QT, adding to tricyclic toxicity.
用白話說明這項交互作用的意義
Imipramine and Pefloxacin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Imipramine belongs to Central Nervous System; Pefloxacin belongs to Anti Bacterial.
為什麼會發生
CYP1A2 inhibition reducing imipramine clearance, with additive seizure and QT effects.
處置方式
Monitor for tricyclic adverse effects and ECG changes, and consider reducing imipramine dose or choosing a non-interacting antibiotic.
可向藥師詢問的問題
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
Imipramine 的其他交互作用
Pefloxacin 的其他交互作用
常見問題
Can I take Imipramine with Pefloxacin?
MediHelp rates the interaction as moderate. Imipramine and Pefloxacin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Pefloxacin inhibits CYP1A2, one of the pathways metabolizing imipramine, so tricyclic levels may increase. Fluoroquinolones can also lower seizure threshold and prolong QT, adding to tricyclic toxicity.
How serious is the interaction between Imipramine and Pefloxacin?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for tricyclic adverse effects and ECG changes, and consider reducing imipramine dose or choosing a non-interacting antibiotic.
What other medicines interact with Imipramine?
MediHelp also lists interactions of Imipramine with, for example, Dronedarone, Isocarboxazid, Phenelzine. The full list is on the Imipramine page.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
在 MediHelp App 中開啟完整參考資料、檢查多種藥物間的交互作用，並使用劑量工具。
