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Drug interactions

Levomilnacipran + Tedizolid

Severity: Moderate

Levomilnacipran and Tedizolid: 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

Levomilnacipran is a serotonin and norepinephrine reuptake inhibitor, and tedizolid weakly inhibits MAO. The combination could increase the risk of serotonin syndrome, although tedizolid's serotonergic potential appears lower than linezolid's.

What this interaction means in plain words

Levomilnacipran and Tedizolid 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.

Levomilnacipran belongs to Central Nervous System; Tedizolid belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Potential additive serotonergic effect from weak MAO inhibition plus reuptake inhibition.

What to do

Monitor for serotonin syndrome symptoms when combining them. Choose an alternative antibiotic if the clinical situation allows.

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 Levomilnacipran with Tedizolid?

MediHelp rates the interaction as moderate. Levomilnacipran and Tedizolid 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. Levomilnacipran is a serotonin and norepinephrine reuptake inhibitor, and tedizolid weakly inhibits MAO. The combination could increase the risk of serotonin syndrome, although tedizolid's serotonergic potential appears lower than linezolid's.

How serious is the interaction between Levomilnacipran and Tedizolid?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for serotonin syndrome symptoms when combining them. Choose an alternative antibiotic if the clinical situation allows.

What other medicines interact with Tedizolid?

MediHelp also lists interactions of Tedizolid with, for example, Bupropion, Cyproheptadine, Deferiprone. The full list is on the Tedizolid page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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