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Interazioni tra farmaci

Fentanyl + Isocarboxazid

Gravità: Controindicata

Fentanyl and Isocarboxazid: contraindicated interaction.

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Sintesi

Isocarboxazid irreversibly blocks MAO-A and MAO-B, and fentanyl is a serotonergic opioid. Serotonin syndrome or an excitatory/depressive MAOI-opioid reaction (hypertension or profound respiratory depression) may result.

Cosa significa questa interazione in parole semplici

Fentanyl 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.

Fentanyl belongs to Musculoskeletal; Isocarboxazid belongs to Central Nervous System.

Livello di evidenza: High

Perché avviene

MAO inhibition with serotonergic opioid effect

Cosa fare

Avoid fentanyl within 14 days of an MAOI; if opioid is essential, use the lowest dose with close 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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  • Additional notes
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Domande frequenti

Can I take Fentanyl with Isocarboxazid?

MediHelp rates the interaction as contraindicated. Fentanyl 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. Isocarboxazid irreversibly blocks MAO-A and MAO-B, and fentanyl is a serotonergic opioid. Serotonin syndrome or an excitatory/depressive MAOI-opioid reaction (hypertension or profound respiratory depression) may result.

How serious is the interaction between Fentanyl 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 fentanyl within 14 days of an MAOI; if opioid is essential, use the lowest dose with close monitoring.

What other medicines interact with Fentanyl?

MediHelp also lists interactions of Fentanyl with, for example, Alvimopan, Olanzapine / samidorphan, Phenelzine. The full list is on the Fentanyl page.

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