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Interazioni tra farmaci

Isocarboxazid + Methadone

Gravità: Controindicata

Isocarboxazid and Methadone: contraindicated interaction.

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Sintesi

Combining methadone with a nonselective MAO inhibitor risks serotonin toxicity, hypotension, hyperthermia, marked sedation and respiratory depression. Methadone's labeling warns against use with MAOIs or within 14 days of stopping one.

Cosa significa questa interazione in parole semplici

Isocarboxazid and Methadone 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 belongs to Central Nervous System; Methadone belongs to Musculoskeletal.

Livello di evidenza: Moderate

Perché avviene

MAO inhibition combined with methadone's serotonergic activity may precipitate serotonin syndrome, plus additive CNS depression.

Cosa fare

Do not use together or within 14 days of stopping the MAOI. Use a non-serotonergic analgesic or opioid-treatment alternative.

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 Isocarboxazid with Methadone?

MediHelp rates the interaction as contraindicated. Isocarboxazid and Methadone 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. Combining methadone with a nonselective MAO inhibitor risks serotonin toxicity, hypotension, hyperthermia, marked sedation and respiratory depression. Methadone's labeling warns against use with MAOIs or within 14 days of stopping one.

How serious is the interaction between Isocarboxazid and Methadone?

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 use together or within 14 days of stopping the MAOI. Use a non-serotonergic analgesic or opioid-treatment alternative.

What other medicines interact with Methadone?

MediHelp also lists interactions of Methadone with, for example, Alvimopan, Calcium / magnesium / potassium / sodium oxybates, Droperidol. The full list is on the Methadone page.

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