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Interazioni tra farmaci

Procarbazine + Venlafaxine

Gravità: Controindicata

Procarbazine and Venlafaxine: contraindicated interaction.

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Sintesi

Procarbazine has MAO-inhibiting properties, so combining it with venlafaxine may cause serotonin syndrome or hypertensive reactions. Evidence is mostly extrapolated from MAOI class effects.

Cosa significa questa interazione in parole semplici

Procarbazine and Venlafaxine 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.

Procarbazine belongs to Oncology; Venlafaxine belongs to Central Nervous System.

Livello di evidenza: Low

Perché avviene

Weak MAO inhibition by procarbazine adds to venlafaxine's serotonin and noradrenaline reuptake inhibition.

Cosa fare

Avoid the combination and allow at least 14 days after stopping procarbazine before starting venlafaxine. Use a non-serotonergic alternative if an antidepressant is needed.

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 Procarbazine with Venlafaxine?

MediHelp rates the interaction as contraindicated. Procarbazine and Venlafaxine 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. Procarbazine has MAO-inhibiting properties, so combining it with venlafaxine may cause serotonin syndrome or hypertensive reactions. Evidence is mostly extrapolated from MAOI class effects.

How serious is the interaction between Procarbazine and Venlafaxine?

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 the combination and allow at least 14 days after stopping procarbazine before starting venlafaxine. Use a non-serotonergic alternative if an antidepressant is needed.

What other medicines interact with Venlafaxine?

MediHelp also lists interactions of Venlafaxine with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Venlafaxine page.

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