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Drug interactions

Deutetrabenazine + Maprotiline

Severity: Moderate

Deutetrabenazine and Maprotiline: moderate 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 prolong the QT interval, and deutetrabenazine can do so modestly, which adds to risk of torsade de pointes particularly with electrolyte disturbance, bradycardia or congenital long QT. Both can also cause sedation and depressive symptoms matter in this patient group.

What this interaction means in plain words

Deutetrabenazine and Maprotiline can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Deutetrabenazine belongs to Central Nervous System; Maprotiline belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive QT prolongation through effects on cardiac repolarization.

What to do

Obtain a baseline ECG and correct potassium and magnesium before combining. Monitor ECG when doses change and avoid in patients with congenital long QT.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Deutetrabenazine with Maprotiline?

MediHelp rates the interaction as moderate. Deutetrabenazine and Maprotiline can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Maprotiline can prolong the QT interval, and deutetrabenazine can do so modestly, which adds to risk of torsade de pointes particularly with electrolyte disturbance, bradycardia or congenital long QT. Both can also cause sedation and depressive symptoms matter in this patient group.

How serious is the interaction between Deutetrabenazine and Maprotiline?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and correct potassium and magnesium before combining. Monitor ECG when doses change and avoid in patients with congenital long QT.

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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