藥物交互作用
Revefenacin + Tiotropium
嚴重程度: 嚴重
Revefenacin and Tiotropium: major 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 are inhaled long-acting muscarinic antagonists, so using them together duplicates therapy. This can raise the risk of dry mouth, urinary retention, constipation, tachycardia and worsening narrow-angle glaucoma without added bronchodilator benefit.
用白話說明這項交互作用的意義
Revefenacin and Tiotropium 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.
Revefenacin belongs to Respiratory; Tiotropium belongs to Respiratory.
為什麼會發生
Duplicate muscarinic receptor antagonism produces additive systemic and local anticholinergic effects.
處置方式
Avoid using two long-acting antimuscarinics together; choose one agent and add a drug from a different class, such as a LABA, if more control is required.
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?
Tiotropium 的其他交互作用
Revefenacin 的其他交互作用
常見問題
Can I take Revefenacin with Tiotropium?
MediHelp rates the interaction as major. Revefenacin and Tiotropium 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. Both are inhaled long-acting muscarinic antagonists, so using them together duplicates therapy. This can raise the risk of dry mouth, urinary retention, constipation, tachycardia and worsening narrow-angle glaucoma without added bronchodilator benefit.
How serious is the interaction between Revefenacin and Tiotropium?
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 using two long-acting antimuscarinics together; choose one agent and add a drug from a different class, such as a LABA, if more control is required.
What other medicines interact with Tiotropium?
MediHelp also lists interactions of Tiotropium with, for example, Glycopyrrolate inhaled, Indacaterol-glycopyrronium, Umeclidinium. The full list is on the Tiotropium 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。
