Drug interactions
Amoxapine + Procarbazine
Severity: Contraindicated
Amoxapine and Procarbazine: contraindicated interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Procarbazine has monoamine oxidase inhibitor activity, and amoxapine is a tricyclic antidepressant that inhibits noradrenaline and serotonin reuptake. Together they can cause serotonin syndrome or hypertensive reactions, with agitation, hyperthermia, autonomic instability and seizures.
What this interaction means in plain words
Amoxapine and Procarbazine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Why it happens
MAO inhibition combined with reuptake inhibition raises synaptic monoamine concentrations, with additive serotonergic and adrenergic effects.
What to do
Avoid the combination. Leave a washout period of at least 14 days after stopping procarbazine before starting amoxapine, and the reverse as well.
What to ask your pharmacist
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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Other interactions of Procarbazine
- Adenovirus types 4 and 7 live + Procarbazine Contraindicated
- Amitriptyline + Procarbazine Contraindicated
- Atomoxetine + Procarbazine Contraindicated
- Bcg vaccine live + Procarbazine Contraindicated
- Brimonidine + Procarbazine Contraindicated
- Buspirone + Procarbazine Contraindicated
Frequently asked questions
Can I take Amoxapine with Procarbazine?
MediHelp rates the interaction as contraindicated. Amoxapine and Procarbazine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Procarbazine has monoamine oxidase inhibitor activity, and amoxapine is a tricyclic antidepressant that inhibits noradrenaline and serotonin reuptake. Together they can cause serotonin syndrome or hypertensive reactions, with agitation, hyperthermia, autonomic instability and seizures.
How serious is the interaction between Amoxapine and Procarbazine?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination. Leave a washout period of at least 14 days after stopping procarbazine before starting amoxapine, and the reverse as well.
What other medicines interact with Procarbazine?
MediHelp also lists interactions of Procarbazine with, for example, Adenovirus types 4 and 7 live, Amitriptyline, Atomoxetine. The full list is on the Procarbazine page.
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