相互作用
Cyclobenzaprine + Tranylcypromine
重症度: 併用禁忌
Cyclobenzaprine and Tranylcypromine: contraindicated interaction.
最終更新日
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概要
Tranylcypromine inhibits monoamine oxidase and so reduces serotonin breakdown, while cyclobenzaprine is a tricyclic-related muscle relaxant that inhibits serotonin and norepinephrine reuptake. Together this can precipitate serotonin syndrome, with agitation, hyperthermia, clonus and autonomic instability that may be fatal. Hypertensive reactions are also possible with tricyclic agents.
この相互作用をわかりやすく説明すると
Cyclobenzaprine and Tranylcypromine 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.
Cyclobenzaprine belongs to Musculoskeletal; Tranylcypromine belongs to Central Nervous System.
なぜ起こるのか
Additive serotonergic activity: irreversible non-selective MAO inhibition plus monoamine reuptake inhibition
対処法
Do not combine; allow at least 14 days after stopping the tranylcypromine before starting cyclobenzaprine, and at least 14 days after stopping cyclobenzaprine before starting the tranylcypromine.
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、CyclobenzaprineとTranylcypromine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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Cyclobenzaprineのその他の相互作用
Tranylcypromineのその他の相互作用
よくある質問
Can I take Cyclobenzaprine with Tranylcypromine?
MediHelp rates the interaction as contraindicated. Cyclobenzaprine and Tranylcypromine 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. Tranylcypromine inhibits monoamine oxidase and so reduces serotonin breakdown, while cyclobenzaprine is a tricyclic-related muscle relaxant that inhibits serotonin and norepinephrine reuptake. Together this can precipitate serotonin syndrome, with agitation, hyperthermia, clonus and autonomic instability that may be fatal. Hypertensive reactions are also possible with tricyclic agents.
How serious is the interaction between Cyclobenzaprine and Tranylcypromine?
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 combine; allow at least 14 days after stopping the tranylcypromine before starting cyclobenzaprine, and at least 14 days after stopping cyclobenzaprine before starting the tranylcypromine.
What other medicines interact with Cyclobenzaprine?
MediHelp also lists interactions of Cyclobenzaprine with, for example, Isocarboxazid, Linezolid, Phenelzine. The full list is on the Cyclobenzaprine 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。
