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Drug interactions

Debrisoquine + Trazodone

Severity: Minor

Debrisoquine and Trazodone: 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

Debrisoquine acts by being taken up into adrenergic neurons, where it depletes norepinephrine. Antidepressants that block neuronal amine uptake can reduce its effect, but trazodone is a weak inhibitor of this uptake, so the effect is limited. Trazodone's own alpha-blocking action may add to hypotension.

What this interaction means in plain words

Debrisoquine and Trazodone 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 weak competition for neuronal amine uptake, with additive hypotensive effects from alpha-blockade.

What to do

Monitor blood pressure when starting or stopping trazodone and adjust the antihypertensive 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 Debrisoquine with Trazodone?

MediHelp rates the interaction as minor. Debrisoquine and Trazodone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Debrisoquine acts by being taken up into adrenergic neurons, where it depletes norepinephrine. Antidepressants that block neuronal amine uptake can reduce its effect, but trazodone is a weak inhibitor of this uptake, so the effect is limited. Trazodone's own alpha-blocking action may add to hypotension.

How serious is the interaction between Debrisoquine and Trazodone?

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 blood pressure when starting or stopping trazodone and adjust the antihypertensive dose if needed.

What other medicines interact with Trazodone?

MediHelp also lists interactions of Trazodone with, for example, Arsenic trioxide, Ibutilide, Isocarboxazid. The full list is on the Trazodone page.

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