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Drug interactions

Ketamine + Linezolid

Severity: Moderate

Ketamine and Linezolid: 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

Ketamine has sympathomimetic effects, and with an MAO inhibitor such as linezolid there is a theoretical risk of exaggerated hypertension and tachycardia. Clinical data are scarce.

What this interaction means in plain words

Ketamine and Linezolid 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.

Ketamine belongs to Central Nervous System; Linezolid belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Enhanced sympathomimetic pressor response from ketamine catecholamine release with MAO inhibition by linezolid.

What to do

Tell the anesthesia team about linezolid use and monitor blood pressure and heart rate closely during ketamine administration. Be ready to treat hypertensive responses.

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 Ketamine with Linezolid?

MediHelp rates the interaction as moderate. Ketamine and Linezolid 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. Ketamine has sympathomimetic effects, and with an MAO inhibitor such as linezolid there is a theoretical risk of exaggerated hypertension and tachycardia. Clinical data are scarce.

How serious is the interaction between Ketamine and Linezolid?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Tell the anesthesia team about linezolid use and monitor blood pressure and heart rate closely during ketamine administration. Be ready to treat hypertensive responses.

What other medicines interact with Linezolid?

MediHelp also lists interactions of Linezolid with, for example, Amoxapine, Atomoxetine, Benzphetamine. The full list is on the Linezolid page.

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

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