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Interazioni tra farmaci

Cocaine + Isocarboxazid

Gravità: Controindicata

Cocaine and Isocarboxazid: contraindicated interaction.

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Sintesi

Cocaine blocks reuptake of catecholamines and serotonin, and with an MAOI it may cause severe hypertension, arrhythmias or serotonin toxicity. Topical medical use gives lower exposure but still carries risk.

Cosa significa questa interazione in parole semplici

Cocaine and Isocarboxazid 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.

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

Livello di evidenza: Moderate

Perché avviene

Monoamine reuptake inhibition combined with inhibited monoamine metabolism increases synaptic catecholamines and serotonin.

Cosa fare

Avoid cocaine in patients on MAOIs, including topical anesthetic use; choose a different local anesthetic.

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 Cocaine with Isocarboxazid?

MediHelp rates the interaction as contraindicated. Cocaine and Isocarboxazid 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. Cocaine blocks reuptake of catecholamines and serotonin, and with an MAOI it may cause severe hypertension, arrhythmias or serotonin toxicity. Topical medical use gives lower exposure but still carries risk.

How serious is the interaction between Cocaine and Isocarboxazid?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid cocaine in patients on MAOIs, including topical anesthetic use; choose a different local anesthetic.

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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