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Interactions médicamenteuses

Isocarboxazid + Naratriptan

Gravité: Majeure

Isocarboxazid and Naratriptan: major interaction.

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Résumé

Isocarboxazid irreversibly inhibits monoamine oxidase and naratriptan is a 5-HT1B/1D agonist. Both increase serotonergic or vasoconstrictor tone, so serotonin syndrome or hypertensive effects are possible, although naratriptan is not mainly cleared by MAO.

Ce que signifie cette interaction, en termes simples

Isocarboxazid and Naratriptan 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.

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

Niveau de preuve: Low

Pourquoi elle survient

Additive serotonergic and vasoconstrictor effects

Conduite à tenir

Avoid where possible; if used, give naratriptan at the lowest dose and monitor blood pressure and for serotonin toxicity.

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 Isocarboxazid with Naratriptan?

MediHelp rates the interaction as major. Isocarboxazid and Naratriptan 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. Isocarboxazid irreversibly inhibits monoamine oxidase and naratriptan is a 5-HT1B/1D agonist. Both increase serotonergic or vasoconstrictor tone, so serotonin syndrome or hypertensive effects are possible, although naratriptan is not mainly cleared by MAO.

How serious is the interaction between Isocarboxazid and Naratriptan?

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 where possible; if used, give naratriptan at the lowest dose and monitor blood pressure and for serotonin toxicity.

What other medicines interact with Isocarboxazid?

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

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