Interazioni tra farmaci
Desvenlafaxine + Phenelzine
Gravità: Controindicata
Desvenlafaxine and Phenelzine: contraindicated interaction.
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Sintesi
Phenelzine inhibits monoamine oxidase and so reduces serotonin breakdown, while desvenlafaxine blocks serotonin and norepinephrine reuptake. Together this can precipitate serotonin syndrome, with agitation, hyperthermia, clonus and autonomic instability that may be fatal.
Cosa significa questa interazione in parole semplici
Desvenlafaxine 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.
Desvenlafaxine belongs to Central Nervous System; Phenelzine belongs to Central Nervous System.
Perché avviene
Additive serotonergic activity: irreversible non-selective MAO inhibition plus monoamine reuptake inhibition
Cosa fare
Do not combine; allow at least 14 days after stopping the phenelzine before starting desvenlafaxine, and at least 14 days after stopping desvenlafaxine before starting the phenelzine.
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 Desvenlafaxine
- Desvenlafaxine + Isocarboxazid Controindicata
- Desvenlafaxine + Methylene blue Controindicata
- Desvenlafaxine + Rasagiline Controindicata
- Desvenlafaxine + Safinamide Controindicata
- Desvenlafaxine + Selegiline Controindicata
- Desvenlafaxine + Selegiline transdermal Controindicata
Altre interazioni di Phenelzine
- 5-HTP + Phenelzine Controindicata
- Amitriptyline + Phenelzine Controindicata
- Amoxapine + Phenelzine Controindicata
- Atomoxetine + Phenelzine Controindicata
- Benzphetamine + Phenelzine Controindicata
- Brimonidine + Phenelzine Controindicata
Domande frequenti
Can I take Desvenlafaxine with Phenelzine?
MediHelp rates the interaction as contraindicated. Desvenlafaxine 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. Phenelzine inhibits monoamine oxidase and so reduces serotonin breakdown, while desvenlafaxine blocks serotonin and norepinephrine reuptake. Together this can precipitate serotonin syndrome, with agitation, hyperthermia, clonus and autonomic instability that may be fatal.
How serious is the interaction between Desvenlafaxine 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 combine; allow at least 14 days after stopping the phenelzine before starting desvenlafaxine, and at least 14 days after stopping desvenlafaxine before starting the phenelzine.
What other medicines interact with Desvenlafaxine?
MediHelp also lists interactions of Desvenlafaxine with, for example, Isocarboxazid, Methylene blue, Rasagiline. The full list is on the Desvenlafaxine page.
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