相互作用
Desvenlafaxine + Methylene blue
重症度: 併用禁忌
Desvenlafaxine and Methylene blue: contraindicated interaction.
最終更新日
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概要
Methylene blue inhibits MAO-A and can precipitate serotonin syndrome when given with desvenlafaxine. The reaction can be severe, with hyperthermia, neuromuscular hyperactivity, and altered mental status.
この相互作用をわかりやすく説明すると
Desvenlafaxine and Methylene blue 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.
なぜ起こるのか
MAO-A inhibition by methylene blue adds to serotonin and norepinephrine reuptake inhibition, causing excess serotonergic activity.
対処法
Avoid the combination. If methylene blue is urgent, stop desvenlafaxine and monitor for serotonin syndrome for up to 2 weeks or until 24 hours after the last methylene blue dose, whichever comes first.
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、DesvenlafaxineとMethylene blue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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Desvenlafaxineのその他の相互作用
よくある質問
Can I take Desvenlafaxine with Methylene blue?
MediHelp rates the interaction as contraindicated. Desvenlafaxine and Methylene blue 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. Methylene blue inhibits MAO-A and can precipitate serotonin syndrome when given with desvenlafaxine. The reaction can be severe, with hyperthermia, neuromuscular hyperactivity, and altered mental status.
How serious is the interaction between Desvenlafaxine and Methylene blue?
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. If methylene blue is urgent, stop desvenlafaxine and monitor for serotonin syndrome for up to 2 weeks or until 24 hours after the last methylene blue dose, whichever comes first.
What other medicines interact with Desvenlafaxine?
MediHelp also lists interactions of Desvenlafaxine with, for example, Isocarboxazid, Phenelzine, Rasagiline. The full list is on the Desvenlafaxine 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。
