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Adalat CC 与 Alfentanil Intravenous

Adalat CC 与 Alfentanil Intravenous互相作用以及同时服用的可能性。

检测结果:
Adalat CC <> Alfentanil Intravenous
现实性: 05.12.2022 评论家: 医学副博士Shkutko P.M., in

在该服务的官方手册中,已注明相关研究结果统计规定的互相作用。该互相作用或对患者健康引起不良后果,或起到良好效果。具体联合用药问题,需遵从医嘱。

用户:

硝苯地平可能增加的血液水平的芬太尼. 这可能增加风险和/或严重性的副作用,如过度镇静、呼吸抑郁症低血压和非正规心脏的节奏。 你可能需要的剂量调整到安全地使用这两种药物。 谈谈你的医生如果你有任何疑问或关切的问题。 重要的是要告诉你的医生关于所有其他药物的使用,包括维生素和草药。 不停止使用任何药物,没有第一个说你的医生。

医界专家:

监视器:共同给予的抑制剂CYP450 3A4可能增加等离子浓度的芬太尼,其主要代谢的同工酶. 阿芬太尼清除已被报道大幅度减少在存在中度或有效的抑制剂的CYP450 3A4如替丁、硫氮、氟康唑,并醋竹桃霉素. 孤立的报告的长期的镇静和呼吸抑郁症也已经与同时使用的抑制剂,如红霉素。

管理:患者接受阿芬太尼结合CYP450 3A4抑制剂应当仔细监测用于过多的中枢神经系统和呼吸抑郁症,并且剂量调整因此,如果有必要的。 恢复时间从阿芬太尼麻醉可以延长在某些情况下。

来源
  • EMEA. European Medicines Agency "EPARs. European Union Public Assessment Reports. Available from: URL: http://www.ema.europa.eu/ema/index.jsp?curl=pages/includes/medicines/medicines_landingpage.jsp&mid."
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  • "Product Information. Alfenta (alfentanil)." Janssen Pharmaceutica, Titusville, NJ.
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  • Kharasch ED, Russell M, Mautz D, Thummel KE, Kunze KL, Bowdle A, Cox K "The role of cytochrome P450 3A4 in alfentanil clearance. Implications for interindividual variability in disposition and perioperative drug interactions." Anesthesiology 87 (1997): 36-50
  • Bartkowski RR, Goldberg ME, Larijani GE, Boerner T "Inhibition of alfentanil metabolism by erythromycin." Clin Pharmacol Ther 46 (1989): 99-102
  • Klees TM, Sheffels P, Thummel KE, Kharasch ED "Pharmacogenetic Determinants of Human Liver Microsomal Alfentanil Metabolism and the Role of Cytochrome P450 3A5." Anesthesiology 102 (2005): 550-556
  • Koehntop DE, Noormohamed SE, Fletcher CV "Effects of long-term drugs on alfentanil clearance in patients undergoing renal transplantation." Pharmacotherapy 14 (1994): 592-9
  • Yun CH, Wood M, Wood AJ, Guengerich FP "Identification of the pharmacogenetic determinants of alfentanil metabolism: cytochrome P-450 3A4: an explanation of the variable elimination clearance." Anesthesiology 77 (1992): 467-74
  • Klees TM, Sheffels P, Dale O, Kharasch ED "Metabolism of alfentanil by cytochrome P4503A enzymes." Drug Metab Dispos 33 (2005): 303-11
  • Palkama VJ, Isohanni MH, Neuvonen PJ, Olkkola KT "The effect of intravenous and oral fluconazole on the pharmacokinetics and pharmacodynamics of intravenous alfentanil." Anesth Analg 87 (1998): 190-4
  • Ibrahim AE, Feldman J, Karim A, Kharasch ED "Simultaneous Assessment of Drug Interactions with Low- and High-Extraction Opioids: Application to Parecoxib Effects on the Pharmacokinetics and Pharmacodynamics of Fentanyl and Alfentanil." Anesthesiology 98 (2003): 853-861
  • Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0
  • Kharasch ED, Walker A, Hoffer C, Sheffels P "Intravenous and oral alfentanil as in vivo probes for hepatic and first-pass cytochrome P450 3A activity: noninvasive assessment by use of pupillary miosis." Clin Pharmacol Ther 76 (2004): 452-66
  • Labroo RB, Thummel KE, Kunze KL, Podoll T, Trager WF, Kharasch ED "Catalytic role of cytochrome P4503A4 in multiple pathways of alfentanil metabolism." Drug Metab Dispos 23 (1995): 490-6
Adalat CC

非专利名称: nifedipine

品牌: Adalat CC, Afeditab CR, Nifediac CC, Nifedical XL, Procardia, Procardia XL, Adalat

同义词:

Alfentanil Intravenous

非专利名称: alfentanil

品牌:

同义词: Alfentanil (Intravenous)

在药物相容性与互相作用的检测过程中使用下列的信息来源:Drugs.com, Rxlist.com, Webmd.com, Medscape.com。

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