تداخل‌های دارویی
Amitriptyline + Levothyroxine
شدت: متوسط
Amitriptyline and Levothyroxine: moderate interaction.
آخرین به‌روزرسانی
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خلاصه
Thyroid hormone may increase sensitivity to the effects of tricyclic antidepressants, and combined use has been associated with tachycardia and arrhythmias. Antidepressant response may also be accelerated, but toxicity may emerge more readily, particularly in patients with excess thyroid hormone.
معنای این تداخل به زبان ساده
Amitriptyline and Levothyroxine 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.
Amitriptyline belongs to Central Nervous System; Levothyroxine belongs to Endocrine.
چرا رخ می‌دهد
Thyroid hormone increases beta-adrenergic receptor sensitivity, adding to tricyclic noradrenergic and cardiac effects.
اقدام لازم
Monitor heart rate, rhythm and thyroid function, and avoid over-replacement with levothyroxine. Watch for tricyclic toxicity and ECG changes in patients with cardiac disease.
از داروساز چه بپرسید
- 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?
ویژه اعضای Pro+
باز کردن کل صفحه
یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیه‌های کامل مدیریت Amitriptyline و Levothyroxine، یادداشت‌های تکمیلی، جزئیات شواهد و بررسی‌کننده تداخل برای کل نسخه را باز کنید.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Pro+ را ۱۴ روز رایگان در وب امتحان کنید. بدون نیاز به کارت.
تداخلات دیگر Amitriptyline
- Amitriptyline + Isocarboxazid منع مصرف
- Amitriptyline + Methylene blue منع مصرف
- Amitriptyline + Phenelzine منع مصرف
- Amitriptyline + Pimozide منع مصرف
- Amitriptyline + Procarbazine منع مصرف
- Amitriptyline + Safinamide منع مصرف
تداخلات دیگر Levothyroxine
پرسش‌های متداول
Can I take Amitriptyline with Levothyroxine?
MediHelp rates the interaction as moderate. Amitriptyline and Levothyroxine 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. Thyroid hormone may increase sensitivity to the effects of tricyclic antidepressants, and combined use has been associated with tachycardia and arrhythmias. Antidepressant response may also be accelerated, but toxicity may emerge more readily, particularly in patients with excess thyroid hormone.
How serious is the interaction between Amitriptyline and Levothyroxine?
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 heart rate, rhythm and thyroid function, and avoid over-replacement with levothyroxine. Watch for tricyclic toxicity and ECG changes in patients with cardiac disease.
What other medicines interact with Amitriptyline?
MediHelp also lists interactions of Amitriptyline with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Amitriptyline page.
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