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Interações medicamentosas

Amitriptyline + Isocarboxazid

Gravidade: Contraindicada

Amitriptyline and Isocarboxazid: contraindicated interaction.

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Resumo

Amitriptyline blocks reuptake of serotonin and noradrenaline while isocarboxazid stops their breakdown. Together they can precipitate serotonin syndrome or a hypertensive crisis.

O que esta interação significa em palavras simples

Amitriptyline and Isocarboxazid 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.

Amitriptyline belongs to Central Nervous System; Isocarboxazid belongs to Central Nervous System.

Nível de evidência: High

Por que acontece

MAO inhibition combined with monoamine reuptake inhibition causes excess synaptic serotonin and noradrenaline

O que fazer

Contraindicated; allow at least 14 days after stopping an irreversible MAOI before starting amitriptyline (and 2 weeks the other way around).

O que perguntar ao farmacêutico

  • 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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Perguntas frequentes

Can I take Amitriptyline with Isocarboxazid?

MediHelp rates the interaction as contraindicated. Amitriptyline and Isocarboxazid 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. Amitriptyline blocks reuptake of serotonin and noradrenaline while isocarboxazid stops their breakdown. Together they can precipitate serotonin syndrome or a hypertensive crisis.

How serious is the interaction between Amitriptyline and Isocarboxazid?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Contraindicated; allow at least 14 days after stopping an irreversible MAOI before starting amitriptyline (and 2 weeks the other way around).

What other medicines interact with Amitriptyline?

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

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