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藥物交互作用

Pentamidine + Ziprasidone

嚴重程度: 禁忌併用

Pentamidine and Ziprasidone: contraindicated 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

Systemic pentamidine can prolong the QT interval and has been linked to torsades de pointes, and ziprasidone has similar effects. Using both increases the risk of serious ventricular arrhythmias. Pentamidine can also cause electrolyte disturbances that worsen this risk.

用白話說明這項交互作用的意義

Pentamidine and Ziprasidone 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.

Pentamidine belongs to Anti Parasitic; Ziprasidone belongs to Central Nervous System.

證據等級: Moderate

為什麼會發生

Additive QT prolongation through cardiac repolarization delay, with pentamidine-related hypokalemia or hypomagnesemia as a contributor.

處置方式

Avoid concurrent use; hold ziprasidone or choose another anti-infective if possible. If unavoidable, correct electrolytes beforehand and monitor ECG continuously.

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.

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解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Pentamidine 與 Ziprasidone 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 Pentamidine with Ziprasidone?

MediHelp rates the interaction as contraindicated. Pentamidine and Ziprasidone 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. Systemic pentamidine can prolong the QT interval and has been linked to torsades de pointes, and ziprasidone has similar effects. Using both increases the risk of serious ventricular arrhythmias. Pentamidine can also cause electrolyte disturbances that worsen this risk.

How serious is the interaction between Pentamidine and Ziprasidone?

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 concurrent use; hold ziprasidone or choose another anti-infective if possible. If unavoidable, correct electrolytes beforehand and monitor ECG continuously.

What other medicines interact with Ziprasidone?

MediHelp also lists interactions of Ziprasidone with, for example, Amiodarone, Amitriptyline, Arsenic trioxide. The full list is on the Ziprasidone page.

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