藥物交互作用
Amoxapine + Tranylcypromine
嚴重程度: 禁忌併用
Amoxapine and Tranylcypromine: contraindicated interaction.
最後更新
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摘要
Amoxapine blocks reuptake of norepinephrine and serotonin, and tranylcypromine is an irreversible nonselective MAOI. Together they can cause serotonin syndrome or hypertensive crisis.
用白話說明這項交互作用的意義
Amoxapine and Tranylcypromine 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.
為什麼會發生
Reuptake inhibition combined with irreversible MAO inhibition increases synaptic serotonin and norepinephrine.
處置方式
Do not combine. Observe a washout of at least 14 days after stopping tranylcypromine before starting amoxapine, and an adequate washout of amoxapine before starting an MAOI.
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?
Tranylcypromine 的其他交互作用
常見問題
Can I take Amoxapine with Tranylcypromine?
MediHelp rates the interaction as contraindicated. Amoxapine and Tranylcypromine 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. Amoxapine blocks reuptake of norepinephrine and serotonin, and tranylcypromine is an irreversible nonselective MAOI. Together they can cause serotonin syndrome or hypertensive crisis.
How serious is the interaction between Amoxapine and Tranylcypromine?
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. Observe a washout of at least 14 days after stopping tranylcypromine before starting amoxapine, and an adequate washout of amoxapine before starting an MAOI.
What other medicines interact with Tranylcypromine?
MediHelp also lists interactions of Tranylcypromine with, for example, 5-HTP, Amitriptyline, Atomoxetine. The full list is on the Tranylcypromine page.
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