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藥物交互作用

Amoxapine + Procarbazine

嚴重程度: 禁忌併用

Amoxapine and Procarbazine: contraindicated interaction.

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僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

摘要

Procarbazine has monoamine oxidase inhibitor activity, and amoxapine is a tricyclic antidepressant that inhibits noradrenaline and serotonin reuptake. Together they can cause serotonin syndrome or hypertensive reactions, with agitation, hyperthermia, autonomic instability and seizures.

用白話說明這項交互作用的意義

Amoxapine and Procarbazine 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.

證據等級: Moderate

為什麼會發生

MAO inhibition combined with reuptake inhibition raises synaptic monoamine concentrations, with additive serotonergic and adrenergic effects.

處置方式

Avoid the combination. Leave a washout period of at least 14 days after stopping procarbazine before starting amoxapine, and the reverse as well.

可向藥師詢問的問題

  • 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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建立帳號並開始 Pro+ 試用,即可解鎖 Amoxapine 與 Procarbazine 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Amoxapine with Procarbazine?

MediHelp rates the interaction as contraindicated. Amoxapine and Procarbazine 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. Procarbazine has monoamine oxidase inhibitor activity, and amoxapine is a tricyclic antidepressant that inhibits noradrenaline and serotonin reuptake. Together they can cause serotonin syndrome or hypertensive reactions, with agitation, hyperthermia, autonomic instability and seizures.

How serious is the interaction between Amoxapine and Procarbazine?

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. Leave a washout period of at least 14 days after stopping procarbazine before starting amoxapine, and the reverse as well.

What other medicines interact with Procarbazine?

MediHelp also lists interactions of Procarbazine with, for example, Adenovirus types 4 and 7 live, Amitriptyline, Atomoxetine. The full list is on the Procarbazine page.

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