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Drug interactions

Apraclonidine + Isocarboxazid

Severity: Contraindicated

Apraclonidine and Isocarboxazid: 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

Apraclonidine labeling lists MAO inhibitors as a contraindication. Theoretically, altered catecholamine handling could cause blood pressure changes, although ophthalmic exposure is small.

What this interaction means in plain words

Apraclonidine and Isocarboxazid 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.

Apraclonidine belongs to Cardiovascular; Isocarboxazid belongs to Central Nervous System.

Evidence level: Low

Why it happens

Mechanism is not firmly established; MAO inhibition may alter catecholamine metabolism and potentiate the systemic effects of the alpha-2 agonist.

What to do

Avoid apraclonidine in patients on isocarboxazid and use another intraocular pressure-lowering agent. Follow the labeled contraindication.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Apraclonidine with Isocarboxazid?

MediHelp rates the interaction as contraindicated. Apraclonidine and Isocarboxazid 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. Apraclonidine labeling lists MAO inhibitors as a contraindication. Theoretically, altered catecholamine handling could cause blood pressure changes, although ophthalmic exposure is small.

How serious is the interaction between Apraclonidine and Isocarboxazid?

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 apraclonidine in patients on isocarboxazid and use another intraocular pressure-lowering agent. Follow the labeled contraindication.

What other medicines interact with Isocarboxazid?

MediHelp also lists interactions of Isocarboxazid with, for example, 5-HTP, Amitriptyline, Amobarbital. The full list is on the Isocarboxazid page.

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