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تداخل‌های دارویی

Buprenorphine long-acting + Tranylcypromine

شدت: منع مصرف

Buprenorphine long-acting and Tranylcypromine: contraindicated interaction.

آخرین به‌روزرسانی

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خلاصه

Combining an MAOI with an opioid like buprenorphine can cause serotonin syndrome, and may also produce opioid toxicity with respiratory depression and coma. Because the long-acting injection cannot be quickly removed, any reaction can be prolonged.

معنای این تداخل به زبان ساده

Buprenorphine long-acting and Tranylcypromine 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

Serotonergic excess from MAO inhibition combined with opioid effects, plus possible enhancement of opioid CNS and respiratory depression.

اقدام لازم

Do not use the long-acting injection in patients taking an MAOI or within 14 days of stopping one. Choose a non-serotonergic alternative or wait the washout period.

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 Buprenorphine long-acting و Tranylcypromine، 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 Buprenorphine long-acting with Tranylcypromine?

MediHelp rates the interaction as contraindicated. Buprenorphine long-acting and Tranylcypromine 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. Combining an MAOI with an opioid like buprenorphine can cause serotonin syndrome, and may also produce opioid toxicity with respiratory depression and coma. Because the long-acting injection cannot be quickly removed, any reaction can be prolonged.

How serious is the interaction between Buprenorphine long-acting and Tranylcypromine?

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 use the long-acting injection in patients taking an MAOI or within 14 days of stopping one. Choose a non-serotonergic alternative or wait the washout period.

What other medicines interact with Tranylcypromine?

MediHelp also lists interactions of Tranylcypromine with, for example, 5-HTP, Amitriptyline, Amoxapine. The full list is on the Tranylcypromine page.

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