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Dextroamphetamine + Methylene blue

Gravità: Controindicata

Dextroamphetamine and Methylene blue: contraindicated interaction.

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Sintesi

Methylene blue inhibits monoamine oxidase A and, with serotonergic or sympathomimetic drugs, can cause serotonin syndrome. Amphetamine adds serotonin and norepinephrine release, and hypertensive reactions are also possible.

Cosa significa questa interazione in parole semplici

Dextroamphetamine and Methylene blue 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.

Livello di evidenza: Moderate

Perché avviene

MAO-A inhibition by methylene blue combined with amphetamine-induced monoamine release.

Cosa fare

Avoid the combination. If urgent methylene blue treatment is needed, stop the amphetamine and monitor for serotonin toxicity for at least 24 hours after the last methylene blue dose, or until two weeks have passed if the methylene blue is not given.

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 Dextroamphetamine with Methylene blue?

MediHelp rates the interaction as contraindicated. Dextroamphetamine and Methylene blue 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. Methylene blue inhibits monoamine oxidase A and, with serotonergic or sympathomimetic drugs, can cause serotonin syndrome. Amphetamine adds serotonin and norepinephrine release, and hypertensive reactions are also possible.

How serious is the interaction between Dextroamphetamine and Methylene blue?

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 the combination. If urgent methylene blue treatment is needed, stop the amphetamine and monitor for serotonin toxicity for at least 24 hours after the last methylene blue dose, or until two weeks have passed if the methylene blue is not given.

What other medicines interact with Dextroamphetamine?

MediHelp also lists interactions of Dextroamphetamine with, for example, Isocarboxazid, Linezolid, Phenelzine. The full list is on the Dextroamphetamine page.

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