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Interazioni tra farmaci

Phenelzine + Phenylephrine

Gravità: Controindicata

Phenelzine and Phenylephrine: contraindicated interaction.

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Sintesi

Phenelzine is an irreversible MAO inhibitor, which can greatly amplify the pressor response to sympathomimetics. A hypertensive crisis may occur.

Cosa significa questa interazione in parole semplici

Phenelzine and Phenylephrine 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.

Phenelzine belongs to Central Nervous System; Phenylephrine belongs to Respiratory.

Livello di evidenza: High

Perché avviene

Inhibition of MAO increases availability of norepinephrine and enhances the pressor response to phenylephrine.

Cosa fare

Avoid systemic phenylephrine in patients taking MAO inhibitors, including for two weeks after stopping. Use a non-sympathomimetic decongestant 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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Domande frequenti

Can I take Phenelzine with Phenylephrine?

MediHelp rates the interaction as contraindicated. Phenelzine and Phenylephrine 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. Phenelzine is an irreversible MAO inhibitor, which can greatly amplify the pressor response to sympathomimetics. A hypertensive crisis may occur.

How serious is the interaction between Phenelzine and Phenylephrine?

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 phenylephrine in patients taking MAO inhibitors, including for two weeks after stopping. Use a non-sympathomimetic decongestant alternative.

What other medicines interact with Phenylephrine?

MediHelp also lists interactions of Phenylephrine with, for example, Isocarboxazid, Tranylcypromine, Bromocriptine. The full list is on the Phenylephrine page.

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