藥物交互作用
Cyclobenzaprine + Selegiline transdermal
嚴重程度: 禁忌併用
Cyclobenzaprine and Selegiline transdermal: contraindicated interaction.
最後更新
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摘要
Cyclobenzaprine is structurally related to tricyclic antidepressants, and its labeling contraindicates use with or within 14 days of MAO inhibitors. Combining it with selegiline, an MAO inhibitor, can cause serotonin syndrome, hypertensive crisis, severe convulsions, and death.
用白話說明這項交互作用的意義
Cyclobenzaprine and Selegiline transdermal 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
Inhibition of MAO by selegiline combined with the serotonergic and noradrenergic reuptake effects of cyclobenzaprine leads to excess monoamine activity.
處置方式
Avoid the combination and choose a non-serotonergic muscle relaxant. Allow a washout of at least 14 days after stopping an MAO inhibitor before starting cyclobenzaprine.
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?
Cyclobenzaprine 的其他交互作用
常見問題
Can I take Cyclobenzaprine with Selegiline transdermal?
MediHelp rates the interaction as contraindicated. Cyclobenzaprine and Selegiline transdermal 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. Cyclobenzaprine is structurally related to tricyclic antidepressants, and its labeling contraindicates use with or within 14 days of MAO inhibitors. Combining it with selegiline, an MAO inhibitor, can cause serotonin syndrome, hypertensive crisis, severe convulsions, and death.
How serious is the interaction between Cyclobenzaprine and Selegiline transdermal?
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 and choose a non-serotonergic muscle relaxant. Allow a washout of at least 14 days after stopping an MAO inhibitor before starting cyclobenzaprine.
What other medicines interact with Cyclobenzaprine?
MediHelp also lists interactions of Cyclobenzaprine with, for example, Isocarboxazid, Linezolid, Phenelzine. The full list is on the Cyclobenzaprine page.
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