تداخل‌های دارویی
Fluoxetine + Methylene blue
شدت: منع مصرف
Fluoxetine and Methylene blue: contraindicated interaction.
آخرین به‌روزرسانی
ویژه کادر درمان — فقط جهت مرجع. این صفحه خلاصه‌ای کوتاه است، توصیه پزشکی نیست و جایگزین بروشور رسمی یا قضاوت بالینی نمی‌شود. پیش از تجویز یا تحویل دارو همیشه بررسی کنید.
محتوای بالینی این صفحه فقط به زبان انگلیسی موجود است.
خلاصه
Methylene blue is a reversible MAO-A inhibitor and, combined with a serotonergic SSRI such as fluoxetine, can precipitate serotonin syndrome. Features include agitation, hyperthermia, clonus, autonomic instability and seizures.
معنای این تداخل به زبان ساده
Fluoxetine and Methylene blue 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.
چرا رخ می‌دهد
MAO-A inhibition by methylene blue adds to serotonin reuptake inhibition, producing excess serotonergic activity.
اقدام لازم
Avoid unless methylene blue is needed urgently for a life-threatening condition; then stop fluoxetine and monitor for serotonin toxicity for several hours to days. Because of fluoxetine's long half-life, do not restart it until the washout period in labeling has been observed.
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?
ویژه اعضای Pro+
باز کردن کل صفحه
یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیه‌های کامل مدیریت Fluoxetine و Methylene blue، 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 Fluoxetine
- Fluoxetine + Isocarboxazid منع مصرف
- Fluoxetine + Mavacamten منع مصرف
- Fluoxetine + Phenelzine منع مصرف
- Fluoxetine + Pimozide منع مصرف
- Fluoxetine + Rasagiline منع مصرف
- Fluoxetine + Selegiline منع مصرف
پرسش‌های متداول
Can I take Fluoxetine with Methylene blue?
MediHelp rates the interaction as contraindicated. Fluoxetine and Methylene blue 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. Methylene blue is a reversible MAO-A inhibitor and, combined with a serotonergic SSRI such as fluoxetine, can precipitate serotonin syndrome. Features include agitation, hyperthermia, clonus, autonomic instability and seizures.
How serious is the interaction between Fluoxetine and Methylene blue?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid unless methylene blue is needed urgently for a life-threatening condition; then stop fluoxetine and monitor for serotonin toxicity for several hours to days. Because of fluoxetine's long half-life, do not restart it until the washout period in labeling has been observed.
What other medicines interact with Fluoxetine?
MediHelp also lists interactions of Fluoxetine with, for example, Isocarboxazid, Mavacamten, Phenelzine. The full list is on the Fluoxetine page.
تک‌نگاری کامل، دوزاژ و بررسی تداخل دارویی در برنامه MediHelp
مرجع کامل را باز کنید، تداخل چند دارو را بررسی کنید و از ابزارهای دوز در برنامه MediHelp استفاده کنید.
