藥物交互作用
Brimonidine + Selegiline
嚴重程度: 禁忌併用
Brimonidine and Selegiline: contraindicated interaction.
最後更新
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摘要
Brimonidine labelling forbids use with MAO inhibitors, and selegiline is an MAO-B inhibitor that loses selectivity at higher or transdermal doses. Systemic absorption of the alpha-2 agonist could lead to unpredictable blood-pressure changes, and the effect on catecholamine handling is poorly characterised.
用白話說明這項交互作用的意義
Brimonidine and Selegiline 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.
Brimonidine belongs to Miscellaneous; Selegiline belongs to Central Nervous System.
為什麼會發生
Uncertain: MAO inhibition may alter handling of circulating amines and potentiate systemic alpha-2 agonist cardiovascular effects
處置方式
Avoid brimonidine in patients taking selegiline; use a different intraocular-pressure-lowering agent such as a prostaglandin analogue or beta-blocker where appropriate.
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?
Selegiline 的其他交互作用
Brimonidine 的其他交互作用
常見問題
Can I take Brimonidine with Selegiline?
MediHelp rates the interaction as contraindicated. Brimonidine and Selegiline 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. Brimonidine labelling forbids use with MAO inhibitors, and selegiline is an MAO-B inhibitor that loses selectivity at higher or transdermal doses. Systemic absorption of the alpha-2 agonist could lead to unpredictable blood-pressure changes, and the effect on catecholamine handling is poorly characterised.
How serious is the interaction between Brimonidine and Selegiline?
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 brimonidine in patients taking selegiline; use a different intraocular-pressure-lowering agent such as a prostaglandin analogue or beta-blocker where appropriate.
What other medicines interact with Selegiline?
MediHelp also lists interactions of Selegiline with, for example, Amitriptyline, Amoxapine, Atomoxetine. The full list is on the Selegiline page.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
在 MediHelp App 中開啟完整參考資料、檢查多種藥物間的交互作用，並使用劑量工具。
