Interazioni tra farmaci
Duloxetine + Phenelzine
Gravità: Controindicata
Duloxetine and Phenelzine: contraindicated interaction.
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Sintesi
Phenelzine irreversibly inhibits both MAO-A and MAO-B, so adding duloxetine (a serotonin-noradrenaline reuptake inhibitor) can allow serotonin to accumulate excessively. Serotonin syndrome (hyperthermia, clonus, agitation, autonomic instability) can be severe or fatal.
Cosa significa questa interazione in parole semplici
Duloxetine 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.
Duloxetine belongs to Central Nervous System; Phenelzine belongs to Central Nervous System.
Perché avviene
Inhibition of monoamine oxidase combined with a serotonin-noradrenaline reuptake inhibitor activity leading to excess serotonergic stimulation
Cosa fare
Do not co-administer. Allow at least 14 days after stopping the MAOI before starting duloxetine, and 5 days after stopping duloxetine before starting an MAOI.
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 Duloxetine
- Duloxetine + Isocarboxazid Controindicata
- Duloxetine + Linezolid Controindicata
- Duloxetine + Methylene blue Controindicata
- Duloxetine + Procarbazine Controindicata
- Duloxetine + Rasagiline Controindicata
- Duloxetine + Safinamide 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 Duloxetine with Phenelzine?
MediHelp rates the interaction as contraindicated. Duloxetine 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 irreversibly inhibits both MAO-A and MAO-B, so adding duloxetine (a serotonin-noradrenaline reuptake inhibitor) can allow serotonin to accumulate excessively. Serotonin syndrome (hyperthermia, clonus, agitation, autonomic instability) can be severe or fatal.
How serious is the interaction between Duloxetine 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 co-administer. Allow at least 14 days after stopping the MAOI before starting duloxetine, and 5 days after stopping duloxetine before starting an MAOI.
What other medicines interact with Duloxetine?
MediHelp also lists interactions of Duloxetine with, for example, Isocarboxazid, Linezolid, Methylene blue. The full list is on the Duloxetine page.
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