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50 下列那一項藥品不會增加毛地黃中毒的危險?
(A) Cholestyramine
(B) Clarithromycin
(C) Spironolactone
(D) Furosemide


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最佳解!
aaa 高二下 (2017/02/15)
Cholestyramine 會吸附其他藥品造成其他藥品.....觀看完整全文,請先登入
2F
冰魚王 大三上 (2021/05/01)

有人知道為啥C不能選嗎

低血鉀、低血鎂及高血鈣會加強digoxin的藥效反應,甚至導致中毒現象

我就選了個保鉀..


Interactions between your drugs


Minordigoxin


spironolactone

Applies to: digoxin, spironolactone


Spironolactone may reduce the tubular secretion of digoxin. Plasma clearance of digoxin may be decreased, and plasma levels may increase. Also, limited data indicate that spironolactone may have a negative inotropic side effect. Finally, spironolactone may interfere with some digoxin radioimmunoassays, and digoxin concentrations may be overestimated. During coadministration...


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3F
獨角仙女 大二下 (2021/07/07)

回樓上,我是這樣想

雖然低血鉀會加重digoxin中毒的現象,但digoxin本身機轉應該是造成血鉀上升,再使用個保鉀利尿劑就更容易高血鉀,一樣會有心律不整的風險

而且你上面也寫到Spironolactone may reduce the tubular secretion of digoxin. 

During coadministration, the patient should be monitored for signs and symptoms of digoxin toxicity,


所以我覺得還是選A比較合理

50 下列那一項藥品不會增加毛地黃中毒的危險? (A)Cholestyram..-阿摩線上測驗