藥物交互作用
Dextroamphetamine + Methylene blue
嚴重程度: 禁忌併用
Dextroamphetamine and Methylene blue: contraindicated interaction.
最後更新
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摘要
Methylene blue inhibits monoamine oxidase A and, with serotonergic or sympathomimetic drugs, can cause serotonin syndrome. Amphetamine adds serotonin and norepinephrine release, and hypertensive reactions are also possible.
用白話說明這項交互作用的意義
Dextroamphetamine and Methylene blue 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
MAO-A inhibition by methylene blue combined with amphetamine-induced monoamine release.
處置方式
Avoid the combination. If urgent methylene blue treatment is needed, stop the amphetamine and monitor for serotonin toxicity for at least 24 hours after the last methylene blue dose, or until two weeks have passed if the methylene blue is not given.
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?
Dextroamphetamine 的其他交互作用
常見問題
Can I take Dextroamphetamine with Methylene blue?
MediHelp rates the interaction as contraindicated. Dextroamphetamine and Methylene blue 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. Methylene blue inhibits monoamine oxidase A and, with serotonergic or sympathomimetic drugs, can cause serotonin syndrome. Amphetamine adds serotonin and norepinephrine release, and hypertensive reactions are also possible.
How serious is the interaction between Dextroamphetamine and Methylene blue?
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. If urgent methylene blue treatment is needed, stop the amphetamine and monitor for serotonin toxicity for at least 24 hours after the last methylene blue dose, or until two weeks have passed if the methylene blue is not given.
What other medicines interact with Dextroamphetamine?
MediHelp also lists interactions of Dextroamphetamine with, for example, Isocarboxazid, Linezolid, Phenelzine. The full list is on the Dextroamphetamine page.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
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