Buphenyl (Sodium Phenylbutyrate Tablets) and Kenalog-40

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Talk to your doctor before using triamcinolone together with sodium phenylbutyrate. Triamcinolone may increase ammonia levels in the blood and reduce the effectiveness of sodium phenylbutyrate in the treatment of urea cycle disorders. You may need a dosage adjustment or more frequent monitoring by your doctor to safely use both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

MONITOR: Drugs that can increase plasma ammonia levels such as corticosteroids, haloperidol, or the anticonvulsants carbamazepine, topiramate, and phenobarbital may interfere with the therapeutic effects of phenylbutyrate therapy in the management of urea cycle disorders. Corticosteroids can cause the breakdown of body protein, which may lead to increased ammonia levels. The use of haloperidol has been associated with hyperammonemia in a young child with citrullinemia, an inherited disorder of ammonia excretion. The mechanism for haloperidol, carbamazepine, topiramate, and phenobarbital has not been established.

MANAGEMENT: Plasma ammonia levels should be closely monitored when corticosteroids, haloperidol, carbamazepine, topiramate, or phenobarbital are used in patients with urea cycle disorders receiving phenylbutyrate therapy.

Buphenyl (Sodium Phenylbutyrate Tablets)

Generic Name: sodium phenylbutyrate

Brand name: Buphenyl

Synonyms: Buphenyl

What is Buphenyl (Sodium Phenylbutyrate Tablets)?

Kenalog-40

Generic Name: triamcinolone

Brand name: Kenalog-40, Zilretta, Aristocort, Azmacort

Synonyms: Kenalog-40 (injection)

What is Kenalog-40?