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Interazioni tra farmaci

Carbidopa-levodopa + Phenelzine

Gravità: Controindicata

Carbidopa-levodopa and Phenelzine: contraindicated interaction.

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Sintesi

Levodopa is converted to dopamine and noradrenaline, and a non-selective MAO inhibitor (phenelzine) prevents their breakdown so the amines accumulate. Severe hypertension, flushing, headache and hyperpyrexia may follow.

Cosa significa questa interazione in parole semplici

Carbidopa-levodopa 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.

Carbidopa-levodopa belongs to Central Nervous System; Phenelzine belongs to Central Nervous System.

Livello di evidenza: High

Perché avviene

Non-selective MAO inhibition prevents degradation of levodopa-derived catecholamines

Cosa fare

Do not give together. Wait at least 14 days after stopping phenelzine before starting the other drug; carbidopa reduces but does not eliminate the risk.

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 Carbidopa-levodopa with Phenelzine?

MediHelp rates the interaction as contraindicated. Carbidopa-levodopa 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. Levodopa is converted to dopamine and noradrenaline, and a non-selective MAO inhibitor (phenelzine) prevents their breakdown so the amines accumulate. Severe hypertension, flushing, headache and hyperpyrexia may follow.

How serious is the interaction between Carbidopa-levodopa 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: Do not give together. Wait at least 14 days after stopping phenelzine before starting the other drug; carbidopa reduces but does not eliminate the risk.

What other medicines interact with Carbidopa-levodopa?

MediHelp also lists interactions of Carbidopa-levodopa with, for example, Isocarboxazid, Selegiline transdermal, Tranylcypromine. The full list is on the Carbidopa-levodopa page.

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