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Drug interactions

Lisdexamfetamine + Procarbazine

Severity: Contraindicated

Lisdexamfetamine and Procarbazine: contraindicated 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

Procarbazine has MAO-inhibiting properties, and amphetamines release catecholamines that are then not degraded. This can precipitate hypertensive crisis. The combination should not be used.

What this interaction means in plain words

Lisdexamfetamine and Procarbazine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Lisdexamfetamine belongs to Central Nervous System; Procarbazine belongs to Oncology.

Evidence level: Moderate

Why it happens

MAO inhibition by procarbazine potentiates amphetamine-induced catecholamine release.

What to do

Avoid the combination, including 14 days after procarbazine. Use non-stimulant alternatives.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Lisdexamfetamine with Procarbazine?

MediHelp rates the interaction as contraindicated. Lisdexamfetamine and Procarbazine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Procarbazine has MAO-inhibiting properties, and amphetamines release catecholamines that are then not degraded. This can precipitate hypertensive crisis. The combination should not be used.

How serious is the interaction between Lisdexamfetamine and Procarbazine?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination, including 14 days after procarbazine. Use non-stimulant alternatives.

What other medicines interact with Lisdexamfetamine?

MediHelp also lists interactions of Lisdexamfetamine with, for example, Isocarboxazid, Linezolid, Phenelzine. The full list is on the Lisdexamfetamine page.

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