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Interazioni tra farmaci

Amitriptyline + Thioridazine

Gravità: Controindicata

Amitriptyline and Thioridazine: contraindicated interaction.

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Sintesi

Thioridazine is a strong QT-prolonging antipsychotic, and amitriptyline adds further QT and conduction effects. The combination markedly increases the risk of torsades de pointes and sudden cardiac death.

Cosa significa questa interazione in parole semplici

Amitriptyline and Thioridazine 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; Thioridazine belongs to Central Nervous System.

Livello di evidenza: Moderate

Perché avviene

Additive QT prolongation, with thioridazine also inhibiting CYP2D6 and raising amitriptyline levels.

Cosa fare

Do not combine these drugs; select an alternative antipsychotic or antidepressant with less cardiac liability.

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 Thioridazine?

MediHelp rates the interaction as contraindicated. Amitriptyline and Thioridazine 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. Thioridazine is a strong QT-prolonging antipsychotic, and amitriptyline adds further QT and conduction effects. The combination markedly increases the risk of torsades de pointes and sudden cardiac death.

How serious is the interaction between Amitriptyline and Thioridazine?

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 combine these drugs; select an alternative antipsychotic or antidepressant with less cardiac liability.

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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