Wilson T W, Rajput A H
Can Med Assoc J. 1983 Nov 1;129(9):974-5.
To document an interaction between amantadine hydrochloride and Dyazide that had apparently produced amantadine toxicity, a patient was given amantadine alone for 1 week, followed by amantadine plus Dyazide for another week, under controlled conditions. A diuretic effect was observed after Dyazide was added to the regimen, but the urine amantadine excretion fell, and the drug's plasma concentration increased. It was concluded that one or both of the components of Dyazide (hydrochlorothiazide and triamterene) reduce the clearance of amantadine and can produce higher plasma concentrations and toxic effects.
为记录盐酸金刚烷胺与复方盐酸阿米洛利之间明显导致金刚烷胺中毒的相互作用,在可控条件下,让一名患者先单独服用金刚烷胺1周,随后再服用金刚烷胺加复方盐酸阿米洛利1周。在治疗方案中加入复方盐酸阿米洛利后观察到利尿作用,但尿中金刚烷胺排泄量下降,且该药物的血浆浓度升高。得出的结论是,复方盐酸阿米洛利的一种或两种成分(氢氯噻嗪和氨苯蝶啶)降低了金刚烷胺的清除率,并可产生更高的血浆浓度和毒性作用。