Interazioni tra farmaci
Cyclobenzaprine + Safinamide
Gravità: Controindicata
Cyclobenzaprine and Safinamide: contraindicated interaction.
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Sintesi
Safinamide inhibits monoamine oxidase and so reduces serotonin breakdown, while cyclobenzaprine is a tricyclic-related muscle relaxant that inhibits serotonin and norepinephrine reuptake. Together this can precipitate serotonin syndrome, with agitation, hyperthermia, clonus and autonomic instability that may be fatal. Hypertensive reactions are also possible with tricyclic agents.
Cosa significa questa interazione in parole semplici
Cyclobenzaprine and Safinamide 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.
Cyclobenzaprine belongs to Musculoskeletal; Safinamide belongs to Central Nervous System.
Perché avviene
Additive serotonergic activity: reversible MAO-B inhibition (selectivity is lost at higher doses) plus monoamine reuptake inhibition
Cosa fare
Do not combine; allow at least 14 days after stopping the safinamide before starting cyclobenzaprine, and at least 14 days after stopping cyclobenzaprine before starting the safinamide.
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?
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Altre interazioni di Cyclobenzaprine
- Cyclobenzaprine + Isocarboxazid Controindicata
- Cyclobenzaprine + Linezolid Controindicata
- Cyclobenzaprine + Phenelzine Controindicata
- Cyclobenzaprine + Selegiline Controindicata
- Cyclobenzaprine + Selegiline transdermal Controindicata
- Cyclobenzaprine + Tranylcypromine Controindicata
Altre interazioni di Safinamide
- Amitriptyline + Safinamide Controindicata
- Amoxapine + Safinamide Controindicata
- Amphetamine polistirex + Safinamide Controindicata
- Clomipramine + Safinamide Controindicata
- Desipramine + Safinamide Controindicata
- Desvenlafaxine + Safinamide Controindicata
Domande frequenti
Can I take Cyclobenzaprine with Safinamide?
MediHelp rates the interaction as contraindicated. Cyclobenzaprine and Safinamide 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. Safinamide inhibits monoamine oxidase and so reduces serotonin breakdown, while cyclobenzaprine is a tricyclic-related muscle relaxant that inhibits serotonin and norepinephrine reuptake. Together this can precipitate serotonin syndrome, with agitation, hyperthermia, clonus and autonomic instability that may be fatal. Hypertensive reactions are also possible with tricyclic agents.
How serious is the interaction between Cyclobenzaprine and Safinamide?
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; allow at least 14 days after stopping the safinamide before starting cyclobenzaprine, and at least 14 days after stopping cyclobenzaprine before starting the safinamide.
What other medicines interact with Cyclobenzaprine?
MediHelp also lists interactions of Cyclobenzaprine with, for example, Isocarboxazid, Linezolid, Phenelzine. The full list is on the Cyclobenzaprine page.
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