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Interactions médicamenteuses

Amitriptyline + Macimorelin

Gravité: Majeure

Amitriptyline and Macimorelin: major interaction.

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Résumé

Macimorelin modestly prolongs the QT interval and amitriptyline has additional QT-prolonging potential, which could increase the risk of torsades de pointes during the diagnostic test. Macimorelin is given as a single test dose, so exposure is short.

Ce que signifie cette interaction, en termes simples

Amitriptyline and Macimorelin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Amitriptyline belongs to Central Nervous System; Macimorelin belongs to Endocrine.

Niveau de preuve: Moderate

Pourquoi elle survient

Additive QT interval prolongation.

Conduite à tenir

Avoid the combination. Where feasible, withhold amitriptyline for an adequate washout before the test, or use another growth hormone stimulation test.

Questions à poser à votre pharmacien

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Questions fréquentes

Can I take Amitriptyline with Macimorelin?

MediHelp rates the interaction as major. Amitriptyline and Macimorelin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Macimorelin modestly prolongs the QT interval and amitriptyline has additional QT-prolonging potential, which could increase the risk of torsades de pointes during the diagnostic test. Macimorelin is given as a single test dose, so exposure is short.

How serious is the interaction between Amitriptyline and Macimorelin?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination. Where feasible, withhold amitriptyline for an adequate washout before the test, or use another growth hormone stimulation test.

What other medicines interact with Amitriptyline?

MediHelp also lists interactions of Amitriptyline with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Amitriptyline page.

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