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تداخل‌های دارویی

Amoxapine + Selegiline

شدت: منع مصرف

Amoxapine and Selegiline: contraindicated interaction.

آخرین به‌روزرسانی

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محتوای بالینی این صفحه فقط به زبان انگلیسی موجود است.

خلاصه

Selegiline is a MAO-B inhibitor that loses selectivity at higher doses and, together with a tricyclic-type antidepressant such as amoxapine, can precipitate serotonin syndrome or hypertensive reactions. Labeling for both drug classes advises against concurrent use.

معنای این تداخل به زبان ساده

Amoxapine and Selegiline 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.

سطح شواهد: Moderate

چرا رخ می‌دهد

Combined MAO inhibition and inhibition of norepinephrine and serotonin reuptake, causing excess monoaminergic activity.

اقدام لازم

Do not co-administer; allow at least 14 days between stopping selegiline and starting amoxapine, and an adequate washout in the other direction. Seek urgent care for agitation, hyperthermia, tremor or severe hypertension.

از داروساز چه بپرسید

  • 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.

ویژه اعضای Pro+

باز کردن کل صفحه

یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیه‌های کامل مدیریت Amoxapine و Selegiline، 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.

پرسش‌های متداول

Can I take Amoxapine with Selegiline?

MediHelp rates the interaction as contraindicated. Amoxapine and Selegiline 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. Selegiline is a MAO-B inhibitor that loses selectivity at higher doses and, together with a tricyclic-type antidepressant such as amoxapine, can precipitate serotonin syndrome or hypertensive reactions. Labeling for both drug classes advises against concurrent use.

How serious is the interaction between Amoxapine and Selegiline?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not co-administer; allow at least 14 days between stopping selegiline and starting amoxapine, and an adequate washout in the other direction. Seek urgent care for agitation, hyperthermia, tremor or severe hypertension.

What other medicines interact with Selegiline?

MediHelp also lists interactions of Selegiline with, for example, Amitriptyline, Atomoxetine, Benzphetamine. The full list is on the Selegiline page.

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