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Interazioni tra farmaci

Selegiline transdermal + Venlafaxine

Gravità: Controindicata

Selegiline transdermal and Venlafaxine: contraindicated interaction.

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Sintesi

Transdermal selegiline is an MAO inhibitor that is nonselective at antidepressant doses, and combining it with venlafaxine can cause serotonin syndrome or hypertensive crisis. Labeling for selegiline contraindicates concomitant SNRIs.

Cosa significa questa interazione in parole semplici

Selegiline transdermal 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.

Livello di evidenza: High

Perché avviene

MAO inhibition by selegiline combined with serotonin and norepinephrine reuptake inhibition by venlafaxine leads to excess monoamines.

Cosa fare

Do not use together. Allow at least 7 days after stopping venlafaxine before starting selegiline, and at least 14 days after stopping selegiline before starting venlafaxine.

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 Selegiline transdermal with Venlafaxine?

MediHelp rates the interaction as contraindicated. Selegiline transdermal 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. Transdermal selegiline is an MAO inhibitor that is nonselective at antidepressant doses, and combining it with venlafaxine can cause serotonin syndrome or hypertensive crisis. Labeling for selegiline contraindicates concomitant SNRIs.

How serious is the interaction between Selegiline transdermal 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: Do not use together. Allow at least 7 days after stopping venlafaxine before starting selegiline, and at least 14 days after stopping selegiline before starting venlafaxine.

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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