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Drug interactions

Linezolid + Trifluoperazine

Severity: Moderate

Linezolid and Trifluoperazine: 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

Linezolid is a weak MAO inhibitor and trifluoperazine is a potent dopamine antagonist with some serotonergic receptor activity. Combined use may rarely contribute to serotonin toxicity or neuroleptic malignant syndrome.

What this interaction means in plain words

Linezolid and Trifluoperazine 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.

Evidence level: Low

Why it happens

Additive monoaminergic effects from MAO inhibition and antipsychotic receptor antagonism.

What to do

Monitor for agitation, tremor, clonus, hyperthermia and rigidity during co-administration. Discontinue one or both agents if serotonin syndrome or NMS is suspected.

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 Linezolid with Trifluoperazine?

MediHelp rates the interaction as moderate. Linezolid and Trifluoperazine 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. Linezolid is a weak MAO inhibitor and trifluoperazine is a potent dopamine antagonist with some serotonergic receptor activity. Combined use may rarely contribute to serotonin toxicity or neuroleptic malignant syndrome.

How serious is the interaction between Linezolid and Trifluoperazine?

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 agitation, tremor, clonus, hyperthermia and rigidity during co-administration. Discontinue one or both agents if serotonin syndrome or NMS is suspected.

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.

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