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Drug interactions

Paroxetine + Tedizolid

Severity: Major

Paroxetine and Tedizolid: major 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

Paroxetine is a potent serotonin reuptake inhibitor, and tedizolid is a weak reversible MAO inhibitor. Serotonin syndrome is a theoretical concern because the oxazolidinone class is linked to such cases. Trial data with tedizolid showed few such events, but exposure to SSRIs was limited.

What this interaction means in plain words

Paroxetine and Tedizolid can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

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

Evidence level: Moderate

Why it happens

Additive serotonergic effects from SSRI reuptake blockade and weak MAO inhibition by tedizolid.

What to do

Use a non-serotonergic antibiotic when possible. If co-use is unavoidable, watch for agitation, tremor, clonus, sweating and fever, and stop one drug if serotonin syndrome is suspected.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Paroxetine with Tedizolid?

MediHelp rates the interaction as major. Paroxetine and Tedizolid can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Paroxetine is a potent serotonin reuptake inhibitor, and tedizolid is a weak reversible MAO inhibitor. Serotonin syndrome is a theoretical concern because the oxazolidinone class is linked to such cases. Trial data with tedizolid showed few such events, but exposure to SSRIs was limited.

How serious is the interaction between Paroxetine and Tedizolid?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use a non-serotonergic antibiotic when possible. If co-use is unavoidable, watch for agitation, tremor, clonus, sweating and fever, and stop one drug if serotonin syndrome is suspected.

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

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