相互作用
Phenelzine + Venlafaxine
重症度: 併用禁忌
Phenelzine and Venlafaxine: contraindicated interaction.
最終更新日 出典: US FDA label
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概要
Venlafaxine with phenelzine can cause life-threatening serotonin syndrome, with hyperthermia, rigidity, autonomic instability and seizures. The combination is contraindicated in labeling.
この相互作用をわかりやすく説明すると
Phenelzine and Venlafaxine 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.
Phenelzine belongs to Central Nervous System; Venlafaxine belongs to Central Nervous System.
なぜ起こるのか
Serotonin and noradrenaline reuptake inhibition combined with irreversible MAO inhibition causes monoamine excess.
対処法
Do not coadminister. Leave at least 14 days after stopping phenelzine before starting venlafaxine, and at least 7 days after stopping venlafaxine before starting phenelzine.
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、PhenelzineとVenlafaxine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
Venlafaxine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 Phenelzine with Venlafaxine?
MediHelp rates the interaction as contraindicated. Phenelzine and Venlafaxine 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. Venlafaxine with phenelzine can cause life-threatening serotonin syndrome, with hyperthermia, rigidity, autonomic instability and seizures. The combination is contraindicated in labeling.
How serious is the interaction between Phenelzine and Venlafaxine?
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 coadminister. Leave at least 14 days after stopping phenelzine before starting venlafaxine, and at least 7 days after stopping venlafaxine before starting phenelzine.
What other medicines interact with Venlafaxine?
MediHelp also lists interactions of Venlafaxine with, for example, Isocarboxazid, Methylene blue, Procarbazine. The full list is on the Venlafaxine 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。