Interações medicamentosas
Amitriptyline + Selegiline
Gravidade: Contraindicada
Amitriptyline and Selegiline: contraindicated interaction.
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Resumo
Amitriptyline blocks reuptake of serotonin and noradrenaline while selegiline stops their breakdown. Together they can precipitate serotonin syndrome or a hypertensive crisis.
O que esta interação significa em palavras simples
Amitriptyline and Selegiline 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; Selegiline belongs to Central Nervous System.
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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Outras interações de Amitriptyline
- Amitriptyline + Isocarboxazid Contraindicada
- Amitriptyline + Methylene blue Contraindicada
- Amitriptyline + Phenelzine Contraindicada
- Amitriptyline + Pimozide Contraindicada
- Amitriptyline + Procarbazine Contraindicada
- Amitriptyline + Safinamide Contraindicada
Outras interações de Selegiline
- Amoxapine + Selegiline Contraindicada
- Atomoxetine + Selegiline Contraindicada
- Benzphetamine + Selegiline Contraindicada
- Brimonidine + Selegiline Contraindicada
- Buprenorphine long-acting + Selegiline Contraindicada
- Bupropion-naltrexone + Selegiline Contraindicada
Perguntas frequentes
Can I take Amitriptyline with Selegiline?
MediHelp rates the interaction as contraindicated. Amitriptyline and Selegiline 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 selegiline stops their breakdown. Together they can precipitate serotonin syndrome or a hypertensive crisis.
How serious is the interaction between Amitriptyline and Selegiline?
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, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Amitriptyline page.
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