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Interazioni tra farmaci

Epinephrine + Isocarboxazid

Gravità: Controindicata

Epinephrine and Isocarboxazid: contraindicated interaction.

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Sintesi

Epinephrine is partly cleared by MAO and COMT, and isocarboxazid inhibits monoamine oxidase, which prolongs and intensifies its pressor action. Hypertensive crisis and arrhythmia may follow, especially with systemic dosing.

Cosa significa questa interazione in parole semplici

Epinephrine and Isocarboxazid 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.

Epinephrine belongs to Endocrine; Isocarboxazid belongs to Central Nervous System.

Livello di evidenza: High

Perché avviene

MAO inhibition potentiating sympathomimetic effects

Cosa fare

Avoid systemic epinephrine; if essential for anaphylaxis, use titrated doses with blood pressure and ECG monitoring.

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 Epinephrine with Isocarboxazid?

MediHelp rates the interaction as contraindicated. Epinephrine and Isocarboxazid 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. Epinephrine is partly cleared by MAO and COMT, and isocarboxazid inhibits monoamine oxidase, which prolongs and intensifies its pressor action. Hypertensive crisis and arrhythmia may follow, especially with systemic dosing.

How serious is the interaction between Epinephrine and Isocarboxazid?

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 systemic epinephrine; if essential for anaphylaxis, use titrated doses with blood pressure and ECG monitoring.

What other medicines interact with Isocarboxazid?

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

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