تداخلهای دارویی
Isocarboxazid + Nortriptyline
شدت: منع مصرف
Isocarboxazid and Nortriptyline: 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 nortriptyline is a tricyclic antidepressant that blocks noradrenaline and serotonin 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 Nortriptyline 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; Nortriptyline belongs to Central Nervous System.
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 nortriptyline, and at least 14 days after stopping nortriptyline 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?
ویژه اعضای Pro+
باز کردن کل صفحه
یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیههای کامل مدیریت Isocarboxazid و Nortriptyline، 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 Nortriptyline
- Disopyramide + Nortriptyline منع مصرف
- Dofetilide + Nortriptyline منع مصرف
- Dronedarone + Nortriptyline منع مصرف
- Ibutilide + Nortriptyline منع مصرف
- Methylene blue + Nortriptyline منع مصرف
- Nortriptyline + Pentamidine منع مصرف
تداخلات دیگر Isocarboxazid
- 5-HTP + Isocarboxazid منع مصرف
- Amitriptyline + Isocarboxazid منع مصرف
- Amobarbital + Isocarboxazid منع مصرف
- Amoxapine + Isocarboxazid منع مصرف
- Apraclonidine + Isocarboxazid منع مصرف
- Atomoxetine + Isocarboxazid منع مصرف
پرسشهای متداول
Can I take Isocarboxazid with Nortriptyline?
MediHelp rates the interaction as contraindicated. Isocarboxazid and Nortriptyline 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 nortriptyline is a tricyclic antidepressant that blocks noradrenaline and serotonin 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 Nortriptyline?
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 nortriptyline, and at least 14 days after stopping nortriptyline before starting isocarboxazid.
What other medicines interact with Nortriptyline?
MediHelp also lists interactions of Nortriptyline with, for example, Disopyramide, Dofetilide, Dronedarone. The full list is on the Nortriptyline page.
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