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تداخل‌های دارویی

Meperidine + Phenelzine

شدت: منع مصرف

Meperidine and Phenelzine: contraindicated interaction.

آخرین به‌روزرسانی منابع: US FDA label

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خلاصه

Combining an irreversible MAO inhibitor with meperidine can cause severe, potentially fatal reactions, including serotonin syndrome with hyperthermia, rigidity, agitation and coma, and in some cases severe hypertension or respiratory depression. The combination is contraindicated in labeling.

معنای این تداخل به زبان ساده

Meperidine and Phenelzine 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.

Meperidine belongs to Musculoskeletal; Phenelzine belongs to Central Nervous System.

سطح شواهد: High

چرا رخ می‌دهد

Phenelzine irreversibly inhibits MAO, and meperidine blocks serotonin reuptake, producing excessive serotonergic activity.

اقدام لازم

Do not use together. Avoid meperidine for at least 14 days after stopping phenelzine and choose a safer opioid such as morphine with caution.

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 Meperidine و Phenelzine، 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.

منابع

پرسش‌های متداول

Can I take Meperidine with Phenelzine?

MediHelp rates the interaction as contraindicated. Meperidine and Phenelzine 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 irreversible MAO inhibitor with meperidine can cause severe, potentially fatal reactions, including serotonin syndrome with hyperthermia, rigidity, agitation and coma, and in some cases severe hypertension or respiratory depression. The combination is contraindicated in labeling.

How serious is the interaction between Meperidine and Phenelzine?

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 together. Avoid meperidine for at least 14 days after stopping phenelzine and choose a safer opioid such as morphine with caution.

What other medicines interact with Phenelzine?

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

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