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Interazioni tra farmaci

Amitriptyline + Phenelzine

Gravità: Controindicata

Amitriptyline and Phenelzine: contraindicated interaction.

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Sintesi

Amitriptyline blocks reuptake of serotonin and noradrenaline while phenelzine stops their breakdown. Together they can precipitate serotonin syndrome or a hypertensive crisis.

Cosa significa questa interazione in parole semplici

Amitriptyline 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.

Amitriptyline belongs to Central Nervous System; Phenelzine belongs to Central Nervous System.

Livello di evidenza: High

Perché avviene

MAO inhibition combined with monoamine reuptake inhibition causes excess synaptic serotonin and noradrenaline

Cosa fare

Contraindicated; allow at least 14 days after stopping an irreversible MAOI before starting amitriptyline (and 2 weeks the other way around).

Cosa chiedere al farmacista

  • 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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Domande frequenti

Can I take Amitriptyline with Phenelzine?

MediHelp rates the interaction as contraindicated. Amitriptyline 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. Amitriptyline blocks reuptake of serotonin and noradrenaline while phenelzine stops their breakdown. Together they can precipitate serotonin syndrome or a hypertensive crisis.

How serious is the interaction between Amitriptyline 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: Contraindicated; allow at least 14 days after stopping an irreversible MAOI before starting amitriptyline (and 2 weeks the other way around).

What other medicines interact with Amitriptyline?

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

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