Лекарственные взаимодействия
Amitriptyline + Methylene blue
Тяжесть: Противопоказано
Amitriptyline and Methylene blue: contraindicated interaction.
Последнее обновление
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Кратко
Methylene blue inhibits MAO-A and, with a serotonergic tricyclic such as amitriptyline, can precipitate serotonin syndrome. This has been reported with other serotonergic antidepressants and the risk is labelled.
Что означает это взаимодействие простыми словами
Amitriptyline 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.
Почему это происходит
MAO-A inhibition by methylene blue combined with serotonin reuptake inhibition by amitriptyline.
Что делать
Avoid the combination in non-emergency settings. If urgent methylene blue treatment is essential, stop amitriptyline and monitor for serotonin toxicity for up to 2 weeks or until 24 hours after the last methylene blue dose, whichever comes first.
О чём спросить фармацевта
- 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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Другие взаимодействия Amitriptyline
- Amitriptyline + Isocarboxazid Противопоказано
- Amitriptyline + Phenelzine Противопоказано
- Amitriptyline + Pimozide Противопоказано
- Amitriptyline + Procarbazine Противопоказано
- Amitriptyline + Safinamide Противопоказано
- Amitriptyline + Selegiline Противопоказано
Частые вопросы
Can I take Amitriptyline with Methylene blue?
MediHelp rates the interaction as contraindicated. Amitriptyline 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 a serotonergic tricyclic such as amitriptyline, can precipitate serotonin syndrome. This has been reported with other serotonergic antidepressants and the risk is labelled.
How serious is the interaction between Amitriptyline 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 the combination in non-emergency settings. If urgent methylene blue treatment is essential, stop amitriptyline and monitor for serotonin toxicity for up to 2 weeks or until 24 hours after the last methylene blue dose, whichever comes first.
What other medicines interact with Amitriptyline?
MediHelp also lists interactions of Amitriptyline with, for example, Isocarboxazid, Phenelzine, Pimozide. The full list is on the Amitriptyline page.
Полные монографии, дозировки и проверка взаимодействий в приложении MediHelp
Откройте полный справочник, проверяйте взаимодействия нескольких препаратов и пользуйтесь инструментами дозирования в приложении MediHelp.
