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Interações medicamentosas

Amitriptyline + Guanfacine

Gravidade: Moderada

Amitriptyline and Guanfacine: moderate interaction.

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Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.

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Resumo

Tricyclics may blunt the antihypertensive effect of centrally acting alpha-2 agonists. Both drugs also cause sedation and may cause orthostatic hypotension or bradycardia.

O que esta interação significa em palavras simples

Amitriptyline and Guanfacine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amitriptyline belongs to Central Nervous System; Guanfacine belongs to Cardiovascular.

Nível de evidência: Low

Por que acontece

Tricyclics may antagonize alpha-2 agonist action, and there is additive sedative and hypotensive pharmacodynamic effect.

O que fazer

Monitor blood pressure and heart rate and adjust guanfacine as required. Monitor for sedation and dizziness.

O que perguntar ao farmacêutico

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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

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Perguntas frequentes

Can I take Amitriptyline with Guanfacine?

MediHelp rates the interaction as moderate. Amitriptyline and Guanfacine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Tricyclics may blunt the antihypertensive effect of centrally acting alpha-2 agonists. Both drugs also cause sedation and may cause orthostatic hypotension or bradycardia.

How serious is the interaction between Amitriptyline and Guanfacine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure and heart rate and adjust guanfacine as required. Monitor for sedation and dizziness.

What other medicines interact with Amitriptyline?

MediHelp also lists interactions of Amitriptyline with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Amitriptyline page.

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