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Drug interactions

Olanzapine + Procarbazine

Severity: Moderate

Olanzapine and Procarbazine: 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

Procarbazine has weak monoamine oxidase inhibitory activity and may increase serotonergic and CNS effects when combined with antipsychotics. Procarbazine also has CNS depressant effects that may add to olanzapine sedation.

What this interaction means in plain words

Olanzapine and Procarbazine 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.

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

Evidence level: Low

Why it happens

Weak MAO inhibition by procarbazine with additive CNS depression and possible serotonergic effects; mechanism not fully established.

What to do

Monitor for excessive sedation, agitation, hyperthermia, rigidity and autonomic instability. Reduce the olanzapine dose if sedation is marked.

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 Olanzapine with Procarbazine?

MediHelp rates the interaction as moderate. Olanzapine and Procarbazine 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. Procarbazine has weak monoamine oxidase inhibitory activity and may increase serotonergic and CNS effects when combined with antipsychotics. Procarbazine also has CNS depressant effects that may add to olanzapine sedation.

How serious is the interaction between Olanzapine and Procarbazine?

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 excessive sedation, agitation, hyperthermia, rigidity and autonomic instability. Reduce the olanzapine dose if sedation is marked.

What other medicines interact with Olanzapine?

MediHelp also lists interactions of Olanzapine with, for example, Amisulpride, Amoxapine, Apomorphine. The full list is on the Olanzapine page.

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