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Interacțiuni medicamentoase

Bupropion + Phenelzine

Severitate: Contraindicată

Bupropion and Phenelzine: contraindicated interaction.

Ultima actualizare Surse: US FDA label

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Rezumat

Bupropion is contraindicated with MAO inhibitors because of the risk of hypertensive reactions and neurotoxicity. Labeling requires at least 14 days between stopping an MAOI such as phenelzine and starting bupropion. Seizure risk may also be raised.

Ce înseamnă această interacțiune, în cuvinte simple

Bupropion and Phenelzine 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.

Bupropion belongs to Central Nervous System; Phenelzine belongs to Central Nervous System.

Nivel de dovezi: High

De ce apare

Bupropion inhibits noradrenaline and dopamine reuptake while MAO inhibition increases catecholamine stores, producing excessive adrenergic stimulation; bupropion also lowers seizure threshold.

Conduita recomandată

Do not combine; wait at least 14 days after stopping phenelzine before starting bupropion, and at least 14 days after bupropion before starting phenelzine is a conservative approach. Use a different smoking cessation or antidepressant strategy during MAOI treatment.

Ce să întrebați farmacistul

  • 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?

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

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Referințe

Întrebări frecvente

Can I take Bupropion with Phenelzine?

MediHelp rates the interaction as contraindicated. Bupropion and Phenelzine 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. Bupropion is contraindicated with MAO inhibitors because of the risk of hypertensive reactions and neurotoxicity. Labeling requires at least 14 days between stopping an MAOI such as phenelzine and starting bupropion. Seizure risk may also be raised.

How serious is the interaction between Bupropion and Phenelzine?

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; wait at least 14 days after stopping phenelzine before starting bupropion, and at least 14 days after bupropion before starting phenelzine is a conservative approach. Use a different smoking cessation or antidepressant strategy during MAOI treatment.

What other medicines interact with Bupropion?

MediHelp also lists interactions of Bupropion with, for example, Isocarboxazid, Linezolid, Rasagiline. The full list is on the Bupropion page.

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