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相互作用

Clomipramine + Safinamide

重症度: 併用禁忌

Clomipramine and Safinamide: contraindicated interaction.

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概要

Safinamide is a reversible MAO-B inhibitor and clomipramine blocks serotonin and noradrenaline reuptake. Together they can produce serotonin syndrome, and safinamide labelling advises against tricyclic antidepressants.

この相互作用をわかりやすく説明すると

Clomipramine and Safinamide 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.

Clomipramine belongs to Central Nervous System; Safinamide belongs to Central Nervous System.

エビデンスレベル: Moderate

なぜ起こるのか

MAO-B inhibition plus monoamine reuptake inhibition

対処法

Do not co-administer; allow at least 5 days after stopping safinamide before starting clomipramine, and 14 days after stopping clomipramine before safinamide.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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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、ClomipramineとSafinamide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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よくある質問

Can I take Clomipramine with Safinamide?

MediHelp rates the interaction as contraindicated. Clomipramine and Safinamide 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. Safinamide is a reversible MAO-B inhibitor and clomipramine blocks serotonin and noradrenaline reuptake. Together they can produce serotonin syndrome, and safinamide labelling advises against tricyclic antidepressants.

How serious is the interaction between Clomipramine and Safinamide?

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 co-administer; allow at least 5 days after stopping safinamide before starting clomipramine, and 14 days after stopping clomipramine before safinamide.

What other medicines interact with Clomipramine?

MediHelp also lists interactions of Clomipramine with, for example, Arsenic trioxide, Dofetilide, Droperidol. The full list is on the Clomipramine 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。

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