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Ibutilide Fumarate Injection and PCE Dispertab

Determining the interaction of Ibutilide Fumarate Injection and PCE Dispertab and the possibility of their joint administration.

Check result:
Ibutilide Fumarate Injection <> PCE Dispertab
Relevance: 16.06.2022 Reviewer: Shkutko P.M., M.D., in

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.

Consumer:

Talk to your doctor before using ibutilide together with erythromycin. Combining these medications can increase the risk of an irregular heart rhythm that may be serious. Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or special monitoring by your doctor to safely use both medications. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or fast or pounding heartbeats during treatment with these medications, whether together or alone. 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.

Professional:

GENERALLY AVOID: Macrolide antibiotics including azithromycin, clarithromycin, and erythromycin have been associated with prolongation of the QT interval and infrequent cases of cardiac arrhythmia. Theoretically, coadministration with other agents that can prolong the QT interval may result in additive effects and increased risk of ventricular arrhythmias including torsade de pointes and sudden death. In general, the risk of an individual agent or a combination of agents causing ventricular arrhythmia in association with QT prolongation is largely unpredictable but may be increased by certain underlying risk factors such as congenital long QT syndrome, cardiac disease, and electrolyte disturbances (e.g., hypokalemia, hypomagnesemia). Elderly patients may also be more susceptible to drug-associated effects on the QT interval.

MANAGEMENT: The use of macrolide antibiotics in patients receiving class IA or class III antiarrhythmic agents antiarrhythmic agents should generally be avoided unless benefits are anticipated to outweigh the risks. Caution and clinical monitoring are recommended if these agents are prescribed together, especially to patients with underlying risk factors. Patients should be advised to seek medical attention if they experience symptoms that could indicate the occurrence of torsade de pointes such as dizziness, lightheadedness, fainting, palpitations, irregular heartbeat, shortness of breath, or syncope.

References
  • "Product Information. Erythrocin Lactobionate (erythromycin)." Abbott Pharmaceutical, Abbott Park, IL.
  • "Product Information. ERYC (erythromycin)." Parke-Davis, Morris Plains, NJ.
  • Lee KL, Jim MH, Tang SC, Tai YT "QT prolongation and torsades de pointes associated with clarithromycin." Am J Med 104 (1998): 395-6
  • "Product Information. Zithromax (azithromycin)." Pfizer US Pharmaceuticals, New York, NY.
  • "Product Information. Biaxin (clarithromycin)." Abbott Pharmaceutical, Abbott Park, IL.
  • Gitler B, Berger LS, Buffa SD "Torsades de pointes induced by erythromycin." Chest 105 (1994): 368-72
Ibutilide Fumarate Injection

Generic Name: ibutilide

Brand name: Corvert

Synonyms: Ibutilide

PCE Dispertab

Generic Name: erythromycin

Brand name: EES. Granules, EES-400 Filmtab, EryPed 200, EryPed 400, Ery-Tab, Erythrocin Lactobionate, Erythrocin Stearate Filmtab, PCE Dispertab, E. E. S, EryPed, Erythrocin, Erythromycin Filmtabs, Erythromycin Lactobionate - IV

Synonyms: PCE Dispertab (Oral), PCE, PCE (Oral)

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

Interaction with food and lifestyle