Interazioni tra farmaci
Morphine + Phenelzine
Gravità: Controindicata
Morphine and Phenelzine: contraindicated interaction.
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Sintesi
Opioids given with non-selective MAO inhibitors such as phenelzine can lead to serotonin syndrome or to severe CNS depression, hypotension and hyperpyrexia. The reaction is best documented with meperidine, but labeling for morphine advises against use with MAOIs.
Cosa significa questa interazione in parole semplici
Morphine 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.
Morphine belongs to Musculoskeletal; Phenelzine belongs to Central Nervous System.
Perché avviene
MAO inhibition potentiates serotonergic and CNS depressant effects of the opioid through mechanisms not fully established for morphine.
Cosa fare
Avoid morphine during MAOI therapy and for 14 days after stopping phenelzine; choose a non-opioid or alternative analgesic. If an opioid is unavoidable, use specialist supervision 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?
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Altre interazioni di Morphine
- Alvimopan + Morphine Controindicata
- Isocarboxazid + Morphine Controindicata
- Morphine + Olanzapine / samidorphan Controindicata
- Morphine + Tranylcypromine Controindicata
- Alfentanil + Morphine Maggiore
- Alprazolam + Morphine Maggiore
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 Morphine with Phenelzine?
MediHelp rates the interaction as contraindicated. Morphine 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. Opioids given with non-selective MAO inhibitors such as phenelzine can lead to serotonin syndrome or to severe CNS depression, hypotension and hyperpyrexia. The reaction is best documented with meperidine, but labeling for morphine advises against use with MAOIs.
How serious is the interaction between Morphine 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: Avoid morphine during MAOI therapy and for 14 days after stopping phenelzine; choose a non-opioid or alternative analgesic. If an opioid is unavoidable, use specialist supervision with close monitoring.
What other medicines interact with Morphine?
MediHelp also lists interactions of Morphine with, for example, Alvimopan, Isocarboxazid, Olanzapine / samidorphan. The full list is on the Morphine page.
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