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تداخل‌های دارویی

Citalopram + Isocarboxazid

شدت: منع مصرف

Citalopram and Isocarboxazid: contraindicated interaction.

آخرین به‌روزرسانی

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محتوای بالینی این صفحه فقط به زبان انگلیسی موجود است.

خلاصه

Citalopram raises synaptic serotonin by blocking reuptake, and isocarboxazid (an irreversible non-selective MAO inhibitor) prevents its breakdown. Serotonin syndrome with agitation, hyperthermia, clonus and autonomic instability can develop, sometimes fatally.

معنای این تداخل به زبان ساده

Citalopram and Isocarboxazid 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.

Citalopram belongs to Central Nervous System; Isocarboxazid belongs to Central Nervous System.

سطح شواهد: High

چرا رخ می‌دهد

Serotonin reuptake inhibition combined with MAO inhibition causes excess serotonergic activity

اقدام لازم

Contraindicated. Wait at least 14 days after stopping isocarboxazid before starting the other drug; allow at least 2 weeks between stopping an irreversible MAOI and starting citalopram, and about a week the other way round.

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 Citalopram و Isocarboxazid، 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 Citalopram with Isocarboxazid?

MediHelp rates the interaction as contraindicated. Citalopram and Isocarboxazid 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. Citalopram raises synaptic serotonin by blocking reuptake, and isocarboxazid (an irreversible non-selective MAO inhibitor) prevents its breakdown. Serotonin syndrome with agitation, hyperthermia, clonus and autonomic instability can develop, sometimes fatally.

How serious is the interaction between Citalopram and Isocarboxazid?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Contraindicated. Wait at least 14 days after stopping isocarboxazid before starting the other drug; allow at least 2 weeks between stopping an irreversible MAOI and starting citalopram, and about a week the other way round.

What other medicines interact with Citalopram?

MediHelp also lists interactions of Citalopram with, for example, Cisapride, Dronedarone, Escitalopram. The full list is on the Citalopram page.

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