相互作用
Palonosetron + Phenelzine
重症度: 重大
Palonosetron and Phenelzine: major interaction.
最終更新日
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概要
Non-selective MAO inhibitors markedly raise serotonin availability, and adding a 5-HT3 antagonist has been linked to serotonin syndrome in rare reports. Because the MAOI baseline risk is high, the combination warrants more caution.
この相互作用をわかりやすく説明すると
Palonosetron and Phenelzine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Palonosetron belongs to Gastrointestinal Tract; Phenelzine belongs to Central Nervous System.
なぜ起こるのか
Irreversible MAO inhibition increases serotonin, with possible additive serotonergic effects from the antiemetic.
対処法
Prefer a non-serotonergic antiemetic where feasible; if used, give the lowest dose and monitor closely for serotonin syndrome. Stop both drugs and treat if it occurs.
薬剤師に尋ねること
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、Palonosetron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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Palonosetronのその他の相互作用
Phenelzineのその他の相互作用
よくある質問
Can I take Palonosetron with Phenelzine?
MediHelp rates the interaction as major. Palonosetron and Phenelzine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Non-selective MAO inhibitors markedly raise serotonin availability, and adding a 5-HT3 antagonist has been linked to serotonin syndrome in rare reports. Because the MAOI baseline risk is high, the combination warrants more caution.
How serious is the interaction between Palonosetron and Phenelzine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Prefer a non-serotonergic antiemetic where feasible; if used, give the lowest dose and monitor closely for serotonin syndrome. Stop both drugs and treat if it occurs.
What other medicines interact with Palonosetron?
MediHelp also lists interactions of Palonosetron with, for example, Apomorphine, Isocarboxazid, Tranylcypromine. The full list is on the Palonosetron 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。
