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Can you take Leuprolide with SenokotXTRA?

1 drug interaction and 12 additional warnings found for the following 2 drugs:

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Drug interactions

Moderate drug interactions

Moderate:

senna leuprolide

Applies to: SenokotXTRA (senna) and leuprolide

Leuprolide can cause an irregular heart rhythm that may be serious and potentially life-threatening, although it is a relatively rare side effect.

The risk is increased if you have:

  • a heart condition called congenital long QT syndrome
  • other cardiac diseases
  • conduction abnormalities
  • electrolyte disturbances, such as low blood levels of magnesium or potassium

These electrolyte disturbances can occur with bowel cleansing preparations or excessive use of medications that have a laxative effect, such as senna.

Do not exceed the dose and duration recommended on the product label or prescribed by your doctor.

You should seek immediate medical attention if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with these medications, whether taken together or separately.

In addition, you should let your doctor know if you experience signs and symptoms of low magnesium or potassium blood level such as:

  • weakness
  • tiredness
  • drowsiness
  • dizziness
  • confusion
  • tingling
  • numbness
  • muscle pain
  • cramps
  • nausea
  • vomiting

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.

Food/lifestyle interactions

Moderate food/lifestyle interactions

Moderate:

senna multivitamins with minerals

Applies to: SenokotXTRA (senna)

Chronic use of senna may reduce your body's ability to absorb certain vitamins (A, D, E, and K) and minerals like calcium.

To reduce the risk of diminished absorption of multivitamins with minerals, it is best to use senna only occasionally or for short periods. If your doctor does prescribe these medications together, you may need a dose adjustment or special test 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.

Disease interactions

11 potential interactions Applies to: 11 conditions, including Heart Failure, Osteoporosis, Seizures, Inflammatory Bowel Disease, and Diabetes Mellitus.

Appendicitis

Major:

SenokotXTRA

The senna in SenokotXTRA has a major potential interaction with Appendicitis.

The use of stimulant laxatives is contraindicated in patients with or who may have acute surgical abdomen or appendicitis. These patients may be candidates for emergency surgery. Stimulant laxatives should also not be administered to patients with abdominal pain, particularly if the cause has not been determined.

Bleeding Disorder

Major:

SenokotXTRA

The senna in SenokotXTRA has a major potential interaction with Bleeding Disorder.

The use of stimulant laxatives is contraindicated in patients with anal or rectal fissures. These preparations may cause irritation, burning sensation, and proctitis.

Cardiovascular Conditions and Disorders

Moderate:

leuprolide

Leuprolide has a moderate potential interaction with Cardiovascular Conditions and Disorders.

Increased risk of developing myocardial infarction, sudden cardiac death and stroke has been reported in association with the use of GnRH agonists such as leuprolide, and triptorelin. Cardiovascular risk factors should be evaluated carefully before treatment initiation. Patients should be monitored for symptoms and signs suggestive of development or cardiovascular disease and should be managed according to current clinical practice.

Diabetes Mellitus

Moderate:

leuprolide

Leuprolide has a moderate potential interaction with Diabetes Mellitus.

Hyperglycemia and an increased risk of developing diabetes have been reported in men receiving GnRH agonists such as leuprolide and triptorelin. Caution is advised in patients with diabetes as treatment with these agents may risk glycemic control. Monitor blood glucose and/or HbA1c periodically in patients receiving treatment.

Electrolyte Abnormalities

Moderate:

leuprolide

Leuprolide has a moderate potential interaction with Electrolyte Abnormalities.

Androgen deprivation therapy may prolong the QT/QTc interval. Health care providers should consider if benefits of therapy outweigh the potential risks in patients with congenital long QT syndrome, congestive heart failure, electrolyte abnormalities, or taking other drugs that can also prolong the QT interval. Consider periodic monitoring of EKG and electrolytes.

Gastrointestinal Obstruction

Major:

SenokotXTRA

The senna in SenokotXTRA has a major potential interaction with Gastrointestinal Obstruction.

The use of laxatives is contraindicated in patients with intestinal obstruction disorders. Patients with intestinal obstruction disorders may need their underlying condition treated to correct the constipation. Some laxatives require reduction in the colon to their active form to be effective which may be a problem in patients with intestinal obstruction.

Heart Failure

Moderate:

leuprolide

Leuprolide has a moderate potential interaction with Heart Failure.

Androgen deprivation therapy may prolong the QT/QTc interval. Health care providers should consider if benefits of therapy outweigh the potential risks in patients with congenital long QT syndrome, congestive heart failure, electrolyte abnormalities, or taking other drugs that can also prolong the QT interval. Consider periodic monitoring of EKG and electrolytes.

Inflammatory Bowel Disease

Major:

SenokotXTRA

The senna in SenokotXTRA has a major potential interaction with Inflammatory Bowel Disease.

The use of laxatives is contraindicated in patients with inflammatory bowel disease. Patients with inflammatory bowel disease may experience colonic perforation with use of stimulant laxatives.

Long QT Syndrome

Moderate:

leuprolide

Leuprolide has a moderate potential interaction with Long QT Syndrome.

Androgen deprivation therapy may prolong the QT/QTc interval. Health care providers should consider if benefits of therapy outweigh the potential risks in patients with congenital long QT syndrome, congestive heart failure, electrolyte abnormalities, or taking other drugs that can also prolong the QT interval. Consider periodic monitoring of EKG and electrolytes.

Osteoporosis

Moderate:

leuprolide

Leuprolide has a moderate potential interaction with Osteoporosis.

Decreased bone density has been reported in men who have had orchiectomy or who have been treated with a GnRH agonist analog as leuprolide. It can be anticipated that long periods of medical castration in men will have effects on bone density. Bone density loss may not be reversible. Therapy with leuprolide should be administered cautiously in patients with major risk factors for decreased bone mineral content, such as chronic alcohol and/or tobacco use, a strong family history of osteoporosis, or chronic use of drugs that can reduce bone mass (e.g., anticonvulsants, corticosteroids). Therapy beyond six months with gonadotropin-releasing hormone analogs is not recommended for patients with major risk factors for decreased bone mineral content.

Seizures

Moderate:

leuprolide

Leuprolide has a moderate potential interaction with Seizures.

Convulsions have been observed in patients taking leuprolide, including patients who have a history of seizures, epilepsy, or brain disorders, and in those taking medications associated with convulsions. Convulsions have also been reported in patients without any of these conditions. Caution is advised in patients with a history of seizures.

More resources

leuprolide

A total of 298 drugs are known to interact with leuprolide.

SenokotXTRA

A total of 270 drugs are known to interact with SenokotXTRA.

Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.
Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.
Unknown No interaction information available.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.