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藥物交互作用

Clomipramine + Safinamide

嚴重程度: 禁忌併用

Clomipramine and Safinamide: 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

Safinamide is a reversible MAO-B inhibitor and clomipramine blocks serotonin and noradrenaline reuptake. Together they can produce serotonin syndrome, and safinamide labelling advises against tricyclic antidepressants.

用白話說明這項交互作用的意義

Clomipramine and Safinamide 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.

Clomipramine belongs to Central Nervous System; Safinamide belongs to Central Nervous System.

證據等級: Moderate

為什麼會發生

MAO-B inhibition plus monoamine reuptake inhibition

處置方式

Do not co-administer; allow at least 5 days after stopping safinamide before starting clomipramine, and 14 days after stopping clomipramine before safinamide.

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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解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Clomipramine 與 Safinamide 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 Clomipramine with Safinamide?

MediHelp rates the interaction as contraindicated. Clomipramine and Safinamide 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. Safinamide is a reversible MAO-B inhibitor and clomipramine blocks serotonin and noradrenaline reuptake. Together they can produce serotonin syndrome, and safinamide labelling advises against tricyclic antidepressants.

How serious is the interaction between Clomipramine and Safinamide?

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 co-administer; allow at least 5 days after stopping safinamide before starting clomipramine, and 14 days after stopping clomipramine before safinamide.

What other medicines interact with Clomipramine?

MediHelp also lists interactions of Clomipramine with, for example, Arsenic trioxide, Dofetilide, Droperidol. The full list is on the Clomipramine page.

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