简介 联系方式 药物互相作用: 390 212
根据名称进行药物检索

Eskalith-CR 与 Zorvolex

Eskalith-CR 与 Zorvolex互相作用以及同时服用的可能性。

检测结果:
Eskalith-CR <> Zorvolex
现实性: 16.08.2022 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:

芬酸可能会显着增加的血液水平的锂在一些患者造成的锂中毒。 谈谈你的医生如果你有任何疑问或关切的问题。 你的医生可以规定替代品,不进行互动,或者可能需要一剂量的调整或更频繁的监测安全地使用这两种药物。 让你的医生知道,如果你遇到嗜睡头晕、腹泻、呕吐、肌肉软弱,肌肉不协调、颤抖、视力模糊,言犹在耳,过度的渴望,和/或增加的排尿,因为可以将这些症状的过锂水平。 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:

密切监测:共同给予与非甾体抗炎药(非甾体抗炎药)可以增加血清锂水平,并促使毒性在一些患者。 的确切机制的相互作用是未知的,但是认为涉及抑制肾前列腺素的合成药物,导致在下降肾脏中的血流和锂排泄。 已经有众多的公布报告的锂毒性,包括严重的情况下,下面所介绍的各种非甾体抗炎药,包括双氯、布洛芬、美辛,酮咯酸、甲灭酸、吡罗昔康和COX-2抑制剂。 然而,药物动力学研究中已经有点不一致,没有重大影响的报告benoxaprofen和酸,而高达到58%增加,血清中的锂级报告对于消炎痛。 两者降低血清浓度的锂和没有效果已经报告舒和阿司匹林。 相互作用显然是受到标interpatient的可变性。

管理:谨慎建议当锂同时使用与非甾体抗炎药. 患者应该有血清锂水平检查,每4到5天之后开始一个非甾体直到的程度的任何潜在的相互作用可以进行评估。 减少锂剂量,可能需要在一些情况。 病人应被告知寻求医疗注意,如果他们遇到潜在的迹象和症状的锂毒性,例如嗜睡头晕、混乱、弱点、共济失调、震颤、耳鸣,视力模糊、呕吐、腹泻、渴望,并增加的排尿。

来源
  • Monji A, Maekawa T, Miura T, et al. "Interactions between lithium and non-steroidal antiinflammatory drugs." Clin Neuropharmacol 25 (2002): 241-2
  • Khan IH "Lithium and non-steroidal anti-inflammatory drugs." Br Med J 302 (1991): 1537-8
  • Ragheb M, Ban TA, Buchanan D, Frolich JC "Interaction of indomethacin and ibuprofen with lithium in manic patients under a steady-state lithium level." J Clin Psychiatry 41 (1980): 397-8
  • Herschberg SN, Sierles FS "Indomethacin-induced lithium toxicity." Am Fam Physician 28 (1983): 155-7
  • Langlois R, Paquette D "Increased serum lithium levels due to ketorolac therapy." Can Med Assoc J 150 (1994): 1455-6
  • Shelley RK "Lithium and piroxicam." Br J Psychiatry 148: (1986): 343
  • "A life-threatening interaction between lithium and celecoxib." Br J Clin Pharmacol 55 (2003): 413
  • Reimann IW, Diener U, Frolich JC "Indomethacin but not aspirin increases plasma lithium ion levels." Arch Gen Psychiatry 40 (1983): 283-6
  • Reimann IW, Frolich JC "Effects of diclofenac on lithium kinetics." Clin Pharmacol Ther 30 (1981): 348-52
  • Gadallah MF, Feinstein EI, Massry SG "Lithium intoxication: clinical course and therapeutic considerations." Miner Electrolyte Metab 14 (1988): 146-9
  • Juurlink DN, Mamdani MM, Kopp A, Rochon PA, Shulman KI, Redelmeier DA "Drug-induced lithium toxicity in the elderly: a population-based study." J Am Geriatr Soc 52 (2004): 794-8
  • De Winter S, Meersseman W, Verelst S, Willems L, Spriet I "Drug-related admissions due to interaction with an old drug, lithium." Acta Clin Belg 68 (2013): 356-8
  • Phelan KM, Mosholder AD, Lu S "Lithium interaction with the cyclooxygenase 2 inhibitors rofecoxib and celecoxib and other nonsteroidal anti-inflammatory drugs." J Clin Psychiatry 64 (2003): 1328-34
  • Frolich JC, Leftwich R, Ragheb M, Oates JA, Reimann I, Buchanan D "Indomethacin increases plasma lithium." Br Med J 1 (1979): 1115-6
  • Furnell MM, Davies J "The effect of sulindac on lithium therapy." Drug Intell Clin Pharm 19 (1985): 374-6
  • Ragheb M "Ibuprofen can increase serum lithium level in lithium-treated patients." J Clin Psychiatry 48 (1987): 161-3
  • Gunja N, Graudins A, Dowsett R "Lithium toxicity: a potential interaction with celecoxib." Intern Med J 32(9-10) (2002): 494
  • Iyer V "Ketorolac (Toradol) induced lithium toxicity." Headache 34 (1994): 442-4
  • Nadarajah J, Stein GS "Piroxicam induced lithium toxicity." Ann Rheum Dis 44 (1985): 502
  • Stockley IH "Interactions between lithium and NSAIDs." Can Med Assoc J 152 (1995): 152-3
  • Harrison TM, Davies DW, Norris CM "Lithium carbonate and piroxicam." Br J Psychiatry 149 (1986): 124-5
  • Kelly CB, Cooper SJ "Toxic elevation of serum lithium concentration by non-steroidal anti-inflammatory drugs." Ulster Med J 60 (1991): 240-2
  • MacDonald J, Neale TJ "Toxic interaction of lithium carbonate and mefenamic acid." Br Med J 297 (1988): 1339
  • Kerry RJ, Owen G, Michaelson S "Possible toxic interaction between lithium and piroxicam." Lancet 1 (1983): 418-9
  • Chen L, Pym H "Rapid onset of neurological symptoms and lithium toxicity on starting meloxicam." Aust N Z J Psychiatry 44 (2010): 95
  • Ratz Bravo AE, Egger SS, Crespo S, Probst WL, Krahenbuhl S "Lithium intoxication as a result of an interaction with rofecoxib." Ann Pharmacother 38 (2004): 1189-93
  • Bennett WM "Drug interactions and consequences of sodium restriction." Am J Clin Nutr 65 (1997): S678-81
  • Finley PR "Drug Interactions with Lithium: An Update." Clin Pharmacokinet (2016):
  • Kamlana SH, Kerry RJ, Khan IA "Lithium: some drug interactions." Practitioner 224 (1980): 1291-2
  • Hughes BM, Small RE, Brink D, Mckenzie ND "The effect of flurbiprofen on steady-state plasma lithium levels." Pharmacotherapy 17 (1997): 113-20
  • Ragheb M "The interaction of lithium with phenylbutazone in bipolar affective patients." J Clin Psychopharmacol 10 (1990): 149-50
  • Hassan S, Khalid F, Alirhayim Z, Amer S "Lithium toxicity in the setting of nonsteroidal anti-inflammatory medications." Case Rep Nephrol 2013 (2013): epub
  • Lundmark J, Gunnarsson T, Bengtsson F "A possible interaction between lithium and rofecoxib." Br J Clin Pharmacol 53 (2002): 403-4
  • Turck D, Heinzel G, Luik G "Steady-state pharmacokinetics of lithium in healthy volunteers receiving concomitant meloxicam." Br J Clin Pharmacol 50 (2000): 197-204
  • Brouwers JRBJ, Desmet PAGM "Pharmacokinetic-pharmacodynamic drug interactions with nonsteroidal anti-inflammatory drugs." Clin Pharmacokinet 27 (1994): 462-85
  • "Product Information. Eskalith (lithium)." SmithKline Beecham, Philadelphia, PA.
  • Alderman CP, Lindsay KS "Increased serum lithium concentration secondary to treatment with tiaprofenic acid and fosinopril." Ann Pharmacother 30 (1996): 1411-3
  • Walbridge DG, Bazire SR "An interaction between lithium carbonate and piroxicam presenting as lithium toxicity." Br J Psychiatry 147 (1985): 206-7
  • Ragheb M "The clinical significance of lithium-nonsteroidal anti-inflammatory drug interactions." J Clin Psychopharmacol 10 (1990): 350-4
  • Wilting I, Movig KL, Moolenaar M, et al. "Drug-drug interactions as a determinant of elevated lithium serum levels in daily clinical practice." Bipolar Disord 7 (2005): 274-80
  • Chandragiri SS, Pasol E, Gallagher RM "Lithium, ACE inhibitors, NSAIDs, and verapamil - A possible fatal combination." Psychosomatics 39 (1998): 281-2
  • Shelley RK "Lithium toxicity and mefenamic acid: a possible interaction and the role of prostaglandin inhibition." Br J Psychiatry 151 (1987): 847-8
  • Finley PR, Warner MD, Peabody CA "Clinical relevance of drug interactions with lithium." Clin Pharmacokinet 29 (1995): 172-91
  • Ragheb M, Powell AL "Lithium interaction with sulindac and naproxen." J Clin Psychopharmacol 6 (1986): 150-4
Eskalith-CR

非专利名称: lithium

品牌: Eskalith, Lithobid, Lithonate, Lithotabs, Eskalith-CR

同义词: Eskalith-CR (Oral)

Zorvolex

非专利名称: diclofenac

品牌: Cambia, Cataflam, Voltaren-XR, Zipsor, Zorvolex, Voltaren, Dyloject, also Cambia

同义词:

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。

与食物,生活方式相互作用
与疾病相互作用