Drug interactions
Benzphetamine + Maprotiline
Severity: Major
Benzphetamine and Maprotiline: 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
Maprotiline can alter the response to sympathomimetic amines like benzphetamine, potentially causing hypertension, tachycardia or arrhythmias. The effect can be unpredictable, with enhanced or reduced response.
What this interaction means in plain words
Benzphetamine and Maprotiline 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.
Why it happens
Maprotiline blocks norepinephrine reuptake and uptake of indirect sympathomimetics into adrenergic neurons, changing pressor response.
What to do
Avoid the combination where possible. If used, monitor blood pressure and heart rate and adjust doses.
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 Maprotiline
- Arsenic trioxide + Maprotiline Contraindicated
- Disopyramide + Maprotiline Contraindicated
- Dofetilide + Maprotiline Contraindicated
- Ibutilide + Maprotiline Contraindicated
- Isocarboxazid + Maprotiline Contraindicated
- Maprotiline + Methylene blue Contraindicated
Frequently asked questions
Can I take Benzphetamine with Maprotiline?
MediHelp rates the interaction as major. Benzphetamine and Maprotiline 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. Maprotiline can alter the response to sympathomimetic amines like benzphetamine, potentially causing hypertension, tachycardia or arrhythmias. The effect can be unpredictable, with enhanced or reduced response.
How serious is the interaction between Benzphetamine and Maprotiline?
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 and heart rate and adjust doses.
What other medicines interact with Maprotiline?
MediHelp also lists interactions of Maprotiline with, for example, Arsenic trioxide, Disopyramide, Dofetilide. The full list is on the Maprotiline page.
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