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Drug interactions

Armodafinil + Procarbazine

Severity: Major

Armodafinil and Procarbazine: major interaction.

Last updated Sources: US FDA label

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 combining it with a stimulant like armodafinil may cause excessive sympathetic stimulation and hypertensive reactions. Armodafinil labeling advises caution with MAO inhibitors.

What this interaction means in plain words

Armodafinil and Procarbazine 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.

Armodafinil belongs to Central Nervous System; Procarbazine belongs to Oncology.

Evidence level: Low

Why it happens

MAO inhibition by procarbazine combined with the CNS stimulant and pressor effects of armodafinil.

What to do

Avoid the combination where possible. If used, monitor blood pressure closely and educate the patient to report severe headache or palpitations.

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?

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

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References

Frequently asked questions

Can I take Armodafinil with Procarbazine?

MediHelp rates the interaction as major. Armodafinil and Procarbazine 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. Procarbazine has monoamine oxidase inhibitor activity, and combining it with a stimulant like armodafinil may cause excessive sympathetic stimulation and hypertensive reactions. Armodafinil labeling advises caution with MAO inhibitors.

How serious is the interaction between Armodafinil and Procarbazine?

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 the combination where possible. If used, monitor blood pressure closely and educate the patient to report severe headache or palpitations.

What other medicines interact with Armodafinil?

MediHelp also lists interactions of Armodafinil with, for example, Avapritinib, Elacestrant, Elbasvir / grazoprevir. The full list is on the Armodafinil page.

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