Interações medicamentosas
Desipramine + Methylene blue
Gravidade: Contraindicada
Desipramine and Methylene blue: contraindicated 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
Methylene blue inhibits MAO-A and, with serotonergic antidepressants such as desipramine, can cause serotonin syndrome. Features include confusion, agitation, myoclonus, hyperthermia and autonomic instability.
O que esta interação significa em palavras simples
Desipramine and Methylene blue 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.
Por que acontece
MAO-A inhibition by methylene blue combined with desipramine reuptake inhibition increases synaptic serotonin.
O que fazer
Avoid unless methylene blue is needed for an emergency; if so, stop desipramine and monitor for serotonin toxicity for up to 2 weeks or until 24 hours after the last methylene blue dose.
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 + Isocarboxazid Contraindicada
- Desipramine + Pentamidine Contraindicada
- Desipramine + Phenelzine Contraindicada
Perguntas frequentes
Can I take Desipramine with Methylene blue?
MediHelp rates the interaction as contraindicated. Desipramine and Methylene blue 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. Methylene blue inhibits MAO-A and, with serotonergic antidepressants such as desipramine, can cause serotonin syndrome. Features include confusion, agitation, myoclonus, hyperthermia and autonomic instability.
How serious is the interaction between Desipramine and Methylene blue?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid unless methylene blue is needed for an emergency; if so, stop desipramine and monitor for serotonin toxicity for up to 2 weeks or until 24 hours after the last methylene blue dose.
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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