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Drug interactions

Conjugated estrogens + Desipramine

Severity: Minor

Conjugated estrogens and Desipramine: minor 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

Estrogens may raise tricyclic antidepressant concentrations and adverse effects while possibly reducing antidepressant response. Reports are limited and the interaction is uncommon.

What this interaction means in plain words

Conjugated estrogens and Desipramine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Possible inhibition of hepatic metabolism of tricyclics by estrogens; the mechanism is not well established.

What to do

Monitor antidepressant response and anticholinergic or cardiovascular adverse effects when starting or stopping estrogen. Adjust the desipramine dose if needed.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Conjugated estrogens with Desipramine?

MediHelp rates the interaction as minor. Conjugated estrogens and Desipramine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Estrogens may raise tricyclic antidepressant concentrations and adverse effects while possibly reducing antidepressant response. Reports are limited and the interaction is uncommon.

How serious is the interaction between Conjugated estrogens and Desipramine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor antidepressant response and anticholinergic or cardiovascular adverse effects when starting or stopping estrogen. Adjust the desipramine dose if needed.

What other medicines interact with Desipramine?

MediHelp also lists interactions of Desipramine with, for example, Disopyramide, Dofetilide, Ibutilide. The full list is on the Desipramine page.

Full monographs, dosing and an interaction checker in the MediHelp app

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