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تداخل‌های دارویی

Isocarboxazid + Maprotiline

شدت: منع مصرف

Isocarboxazid and Maprotiline: contraindicated interaction.

آخرین به‌روزرسانی

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محتوای بالینی این صفحه فقط به زبان انگلیسی موجود است.

خلاصه

Isocarboxazid irreversibly inhibits monoamine oxidase, so serotonin is not broken down, and maprotiline is a tetracyclic antidepressant that blocks noradrenaline reuptake. Together they can precipitate serotonin syndrome with hyperthermia, agitation, clonus and autonomic instability, which can be fatal.

معنای این تداخل به زبان ساده

Isocarboxazid and Maprotiline 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.

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

سطح شواهد: High

چرا رخ می‌دهد

Excess serotonergic activity (MAO inhibition plus serotonin reuptake or receptor effects)

اقدام لازم

Do not co-administer. Leave at least 14 days after stopping isocarboxazid before starting maprotiline, and at least 14 days after stopping maprotiline before starting isocarboxazid.

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 Isocarboxazid و Maprotiline، 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 Isocarboxazid with Maprotiline?

MediHelp rates the interaction as contraindicated. Isocarboxazid and Maprotiline 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. Isocarboxazid irreversibly inhibits monoamine oxidase, so serotonin is not broken down, and maprotiline is a tetracyclic antidepressant that blocks noradrenaline reuptake. Together they can precipitate serotonin syndrome with hyperthermia, agitation, clonus and autonomic instability, which can be fatal.

How serious is the interaction between Isocarboxazid and Maprotiline?

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. Leave at least 14 days after stopping isocarboxazid before starting maprotiline, and at least 14 days after stopping maprotiline before starting isocarboxazid.

What other medicines interact with Maprotiline?

MediHelp also lists interactions of Maprotiline with, for example, Arsenic trioxide, Disopyramide, Dofetilide. The full list is on the Maprotiline page.

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