Interações medicamentosas
Desipramine + Isocarboxazid
Gravidade: Contraindicada
Desipramine and Isocarboxazid: contraindicated interaction.
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Resumo
Isocarboxazid inhibits monoamine oxidase and so reduces serotonin breakdown, while desipramine is a tricyclic antidepressant that blocks norepinephrine reuptake and, to a lesser degree, serotonin reuptake. Together this can precipitate serotonin syndrome, with agitation, hyperthermia, clonus and autonomic instability that may be fatal. Hypertensive reactions are also possible with tricyclic agents.
O que esta interação significa em palavras simples
Desipramine 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.
Desipramine belongs to Central Nervous System; Isocarboxazid belongs to Central Nervous System.
Por que acontece
Additive serotonergic activity: irreversible non-selective MAO inhibition plus monoamine reuptake inhibition
O que fazer
Do not combine; allow at least 14 days after stopping the isocarboxazid before starting desipramine, and at least 14 days after stopping desipramine before starting the isocarboxazid.
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 Desipramine
- Desipramine + Disopyramide Contraindicada
- Desipramine + Dofetilide Contraindicada
- Desipramine + Ibutilide Contraindicada
- Desipramine + Methylene blue Contraindicada
- Desipramine + Pentamidine Contraindicada
- Desipramine + Phenelzine Contraindicada
Outras interações de Isocarboxazid
- 5-HTP + Isocarboxazid Contraindicada
- Amitriptyline + Isocarboxazid Contraindicada
- Amobarbital + Isocarboxazid Contraindicada
- Amoxapine + Isocarboxazid Contraindicada
- Apraclonidine + Isocarboxazid Contraindicada
- Atomoxetine + Isocarboxazid Contraindicada
Perguntas frequentes
Can I take Desipramine with Isocarboxazid?
MediHelp rates the interaction as contraindicated. Desipramine 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. Isocarboxazid inhibits monoamine oxidase and so reduces serotonin breakdown, while desipramine is a tricyclic antidepressant that blocks norepinephrine reuptake and, to a lesser degree, serotonin reuptake. Together this can precipitate serotonin syndrome, with agitation, hyperthermia, clonus and autonomic instability that may be fatal. Hypertensive reactions are also possible with tricyclic agents.
How serious is the interaction between Desipramine 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: Do not combine; allow at least 14 days after stopping the isocarboxazid before starting desipramine, and at least 14 days after stopping desipramine before starting the isocarboxazid.
What other medicines interact with Desipramine?
MediHelp also lists interactions of Desipramine with, for example, Disopyramide, Dofetilide, Ibutilide. The full list is on the Desipramine page.
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