相互作用
Buspirone + Phenelzine
重症度: 併用禁忌
Buspirone and Phenelzine: contraindicated interaction.
最終更新日 出典: US FDA label
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概要
Buspirone with a nonselective MAOI such as phenelzine has been associated with hypertensive reactions and risk of serotonin syndrome. Buspirone labeling contraindicates its use with MAOIs. The reaction can be severe and may need hospital care.
この相互作用をわかりやすく説明すると
Buspirone 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.
Buspirone belongs to Central Nervous System; Phenelzine belongs to Central Nervous System.
なぜ起こるのか
Phenelzine inhibits MAO, raising monoamine levels, while buspirone is a serotonergic 5-HT1A partial agonist, so serotonergic toxicity may result; the hypertensive mechanism is not fully established.
対処法
Do not use together. Allow at least 14 days after stopping phenelzine before starting buspirone, and about a week after stopping buspirone before starting an MAOI.
薬剤師に尋ねること
- 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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アカウントを作成してPro+トライアルを始めると、BuspironeとPhenelzineの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
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参考文献
Phenelzineのその他の相互作用
Buspironeのその他の相互作用
よくある質問
Can I take Buspirone with Phenelzine?
MediHelp rates the interaction as contraindicated. Buspirone 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. Buspirone with a nonselective MAOI such as phenelzine has been associated with hypertensive reactions and risk of serotonin syndrome. Buspirone labeling contraindicates its use with MAOIs. The reaction can be severe and may need hospital care.
How serious is the interaction between Buspirone 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: Do not use together. Allow at least 14 days after stopping phenelzine before starting buspirone, and about a week after stopping buspirone before starting an MAOI.
What other medicines interact with Phenelzine?
MediHelp also lists interactions of Phenelzine with, for example, 5-HTP, Amitriptyline, Amoxapine. The full list is on the Phenelzine page.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。
