Interazioni tra farmaci
Hydromorphone + Tranylcypromine
Gravità: Controindicata
Hydromorphone and Tranylcypromine: contraindicated interaction.
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Sintesi
Opioids given with nonselective MAOIs have caused severe reactions including hypotension, hyperthermia, respiratory depression and coma. Hydromorphone labeling advises against use during or within 14 days of MAOI therapy.
Cosa significa questa interazione in parole semplici
Hydromorphone and Tranylcypromine 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.
Hydromorphone belongs to Musculoskeletal; Tranylcypromine belongs to Central Nervous System.
Perché avviene
Irreversible MAO inhibition may potentiate opioid CNS and respiratory depression and cause serotonergic or autonomic instability; the exact mechanism is not fully defined.
Cosa fare
Do not combine and wait at least 14 days after stopping tranylcypromine before starting hydromorphone. Use an alternative analgesic if an MAOI is required.
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 Hydromorphone
- Alvimopan + Hydromorphone Controindicata
- Bupropion-naltrexone + Hydromorphone Controindicata
- Hydromorphone + Isocarboxazid Controindicata
- Hydromorphone + Olanzapine / samidorphan Controindicata
- Hydromorphone + Phenelzine Controindicata
- Alfentanil + Hydromorphone Maggiore
Altre interazioni di Tranylcypromine
- 5-HTP + Tranylcypromine Controindicata
- Amitriptyline + Tranylcypromine Controindicata
- Amoxapine + Tranylcypromine Controindicata
- Atomoxetine + Tranylcypromine Controindicata
- Benzphetamine + Tranylcypromine Controindicata
- Brimonidine + Tranylcypromine Controindicata
Domande frequenti
Can I take Hydromorphone with Tranylcypromine?
MediHelp rates the interaction as contraindicated. Hydromorphone and Tranylcypromine 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. Opioids given with nonselective MAOIs have caused severe reactions including hypotension, hyperthermia, respiratory depression and coma. Hydromorphone labeling advises against use during or within 14 days of MAOI therapy.
How serious is the interaction between Hydromorphone and Tranylcypromine?
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 combine and wait at least 14 days after stopping tranylcypromine before starting hydromorphone. Use an alternative analgesic if an MAOI is required.
What other medicines interact with Hydromorphone?
MediHelp also lists interactions of Hydromorphone with, for example, Alvimopan, Bupropion-naltrexone, Isocarboxazid. The full list is on the Hydromorphone page.
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