Drug interactions
Apraclonidine + Phenelzine
Severity: Major
Apraclonidine and Phenelzine: major 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. MAOIs may interfere with catecholamine metabolism and alter blood pressure responses to the alpha-agonist, though systemic exposure from ophthalmic use is low.
What this interaction means in plain words
Apraclonidine and Phenelzine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Apraclonidine belongs to Cardiovascular; Phenelzine belongs to Central Nervous System.
Why it happens
Not well established; possible altered catecholamine handling due to MAO inhibition with an alpha-2 agonist.
What to do
Avoid per labeling and choose another intraocular pressure-lowering agent. If unavoidable, monitor blood pressure.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Phenelzine
- 5-HTP + Phenelzine Contraindicated
- Amitriptyline + Phenelzine Contraindicated
- Amoxapine + Phenelzine Contraindicated
- Atomoxetine + Phenelzine Contraindicated
- Benzphetamine + Phenelzine Contraindicated
- Brimonidine + Phenelzine Contraindicated
Other interactions of Apraclonidine
- Apraclonidine + Isocarboxazid Contraindicated
- Apraclonidine + Linezolid Major
- Apraclonidine + Rasagiline Major
- Apraclonidine + Selegiline Major
- Apraclonidine + Tranylcypromine Major
Frequently asked questions
Can I take Apraclonidine with Phenelzine?
MediHelp rates the interaction as major. Apraclonidine and Phenelzine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Apraclonidine labeling lists MAO inhibitors as a contraindication. MAOIs may interfere with catecholamine metabolism and alter blood pressure responses to the alpha-agonist, though systemic exposure from ophthalmic use is low.
How serious is the interaction between Apraclonidine and Phenelzine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid per labeling and choose another intraocular pressure-lowering agent. If unavoidable, monitor blood pressure.
What other medicines interact with Phenelzine?
MediHelp also lists interactions of Phenelzine with, for example, 5-HTP, Amitriptyline, Amoxapine. The full list is on the Phenelzine page.
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