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Interazioni tra farmaci

Dextroamphetamine + Phenelzine

Gravità: Controindicata

Dextroamphetamine and Phenelzine: contraindicated interaction.

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Sintesi

Phenelzine inhibits catecholamine breakdown and enlarges neuronal norepinephrine stores, and dextroamphetamine releases norepinephrine and dopamine from nerve terminals. The result can be a hypertensive crisis with severe headache, arrhythmia, hyperpyrexia and intracranial haemorrhage.

Cosa significa questa interazione in parole semplici

Dextroamphetamine 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.

Dextroamphetamine belongs to Central Nervous System; Phenelzine belongs to Central Nervous System.

Livello di evidenza: High

Perché avviene

MAO inhibition plus indirect sympathomimetic norepinephrine release -> exaggerated pressor response

Cosa fare

Do not give dextroamphetamine during or within 14 days of an MAO inhibitor, and leave at least 14 days after stopping the stimulant before starting the MAO inhibitor.

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 Phenelzine?

MediHelp rates the interaction as contraindicated. Dextroamphetamine 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 catecholamine breakdown and enlarges neuronal norepinephrine stores, and dextroamphetamine releases norepinephrine and dopamine from nerve terminals. The result can be a hypertensive crisis with severe headache, arrhythmia, hyperpyrexia and intracranial haemorrhage.

How serious is the interaction between Dextroamphetamine 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 dextroamphetamine during or within 14 days of an MAO inhibitor, and leave at least 14 days after stopping the stimulant before starting the MAO inhibitor.

What other medicines interact with Phenelzine?

MediHelp also lists interactions of Phenelzine with, for example, 5-HTP, Amitriptyline, Amoxapine. The full list is on the Phenelzine page.

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