藥物交互作用
Meloxicam + Sodium polystyrene sulfonate
嚴重程度: 嚴重
Meloxicam and Sodium polystyrene sulfonate: major interaction.
最後更新
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摘要
Meloxicam oral suspension contains sorbitol, and sorbitol given with sodium polystyrene sulfonate has been associated with colonic necrosis, which can be fatal. The concern relates to the sorbitol excipient rather than meloxicam itself, and meloxicam tablets lack it. Both NSAIDs and the resin can also independently irritate the gut.
用白話說明這項交互作用的意義
Meloxicam and Sodium polystyrene sulfonate 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.
Meloxicam belongs to Musculoskeletal; Sodium polystyrene sulfonate belongs to Miscellaneous.
為什麼會發生
Sorbitol in the suspension combined with the resin is linked to intestinal necrosis; the exact mechanism is not fully established.
處置方式
Avoid the meloxicam oral suspension with sodium polystyrene sulfonate; use meloxicam tablets or another formulation if an NSAID is needed. Watch for abdominal pain, distension or GI bleeding.
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?
Meloxicam 的其他交互作用
Sodium polystyrene sulfonate 的其他交互作用
常見問題
Can I take Meloxicam with Sodium polystyrene sulfonate?
MediHelp rates the interaction as major. Meloxicam and Sodium polystyrene sulfonate 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. Meloxicam oral suspension contains sorbitol, and sorbitol given with sodium polystyrene sulfonate has been associated with colonic necrosis, which can be fatal. The concern relates to the sorbitol excipient rather than meloxicam itself, and meloxicam tablets lack it. Both NSAIDs and the resin can also independently irritate the gut.
How serious is the interaction between Meloxicam and Sodium polystyrene sulfonate?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the meloxicam oral suspension with sodium polystyrene sulfonate; use meloxicam tablets or another formulation if an NSAID is needed. Watch for abdominal pain, distension or GI bleeding.
What other medicines interact with Meloxicam?
MediHelp also lists interactions of Meloxicam with, for example, Ketorolac intranasal, Ketorolac, Aceclofenac. The full list is on the Meloxicam page.
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