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Interactions médicamenteuses

Clomipramine + Safinamide

Gravité: Contre-indiquée

Clomipramine and Safinamide: contraindicated interaction.

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Résumé

Safinamide is a reversible MAO-B inhibitor and clomipramine blocks serotonin and noradrenaline reuptake. Together they can produce serotonin syndrome, and safinamide labelling advises against tricyclic antidepressants.

Ce que signifie cette interaction, en termes simples

Clomipramine and Safinamide 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.

Clomipramine belongs to Central Nervous System; Safinamide belongs to Central Nervous System.

Niveau de preuve: Moderate

Pourquoi elle survient

MAO-B inhibition plus monoamine reuptake inhibition

Conduite à tenir

Do not co-administer; allow at least 5 days after stopping safinamide before starting clomipramine, and 14 days after stopping clomipramine before safinamide.

Questions à poser à votre pharmacien

  • 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.

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Questions fréquentes

Can I take Clomipramine with Safinamide?

MediHelp rates the interaction as contraindicated. Clomipramine and Safinamide 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. Safinamide is a reversible MAO-B inhibitor and clomipramine blocks serotonin and noradrenaline reuptake. Together they can produce serotonin syndrome, and safinamide labelling advises against tricyclic antidepressants.

How serious is the interaction between Clomipramine and Safinamide?

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; allow at least 5 days after stopping safinamide before starting clomipramine, and 14 days after stopping clomipramine before safinamide.

What other medicines interact with Clomipramine?

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

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