Novo-Cholamine and Propranolol Tablets
Determining the interaction of Novo-Cholamine and Propranolol Tablets and the possibility of their joint administration.
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:Ask your doctor before using cholestyramine together with propranolol. Using these medications together can decrease the effects of propranolol. Cholestyramine may bind to propranolol in the intestines and prevent propranolol from being utilized by the body. Take propranolol at least 1 hour before or 4 to 6 hours after taking a dose of cholestyramine. 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:MONITOR: Coadministration with colestipol or cholestyramine may result in an up to 50% decrease in propranolol plasma concentrations. The proposed mechanism is binding of propranolol by these resins. However, clinical data evaluating this interaction are limited.
MANAGEMENT: Until more information is available, caution is advised if colestipol or cholestyramine are used concomitantly with propranolol. Propranolol should be administered at least 1 to 2 hours before or 4 to 6 hours after cholestyramine or colestipol administration. Dosage adjustments as well as clinical monitoring of propranolol should be considered whenever colestipol or cholestyramine is added to or withdrawn from therapy.
- "Product Information. Inderal (propranolol)." Wyeth-Ayerst Laboratories, Philadelphia, PA.
- Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0
- Cerner Multum, Inc. "Australian Product Information." O 0
- "Product Information. Colestid (colestipol HCI)." Pharmacia and Upjohn, Kalamazoo, MI.
- Agencia EspaƱola de Medicamentos y Productos Sanitarios Healthcare "Centro de informaciĆ³n online de medicamentos de la AEMPS - CIMA. Available from: URL: https://cima.aemps.es/cima/publico/home.html." ([2018]):
- "Product Information. Questran (cholestyramine)." Par Pharmaceutical Inc, Chestnut Ridge, NY.
- Hibbard DM, Peters JR, Hunninghake DB "Effects of cholestyramine and colestipol on the plasma concentrations of propranolol." Br J Clin Pharmacol 18 (1984): 337-42
Generic Name: cholestyramine
Brand name: Cholestyramine Light, Prevalite, Questran, Questran Light, Locholest, Locholest Light, Questran Light Packets, Prevalite Packets, Questran Packets
Synonyms: Cholestyramine, Cholestyramine Resin
Generic Name: propranolol
Brand name: Hemangeol, Inderal LA, Inderal XL, InnoPran XL, Inderal, InnoPran XL
Synonyms: Propranolol
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.
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