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藥物交互作用

Isocarboxazid + Naratriptan

嚴重程度: 嚴重

Isocarboxazid and Naratriptan: major 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

Isocarboxazid irreversibly inhibits monoamine oxidase and naratriptan is a 5-HT1B/1D agonist. Both increase serotonergic or vasoconstrictor tone, so serotonin syndrome or hypertensive effects are possible, although naratriptan is not mainly cleared by MAO.

用白話說明這項交互作用的意義

Isocarboxazid and Naratriptan can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Isocarboxazid belongs to Central Nervous System; Naratriptan belongs to Central Nervous System.

證據等級: Low

為什麼會發生

Additive serotonergic and vasoconstrictor effects

處置方式

Avoid where possible; if used, give naratriptan at the lowest dose and monitor blood pressure and for serotonin toxicity.

可向藥師詢問的問題

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Isocarboxazid with Naratriptan?

MediHelp rates the interaction as major. Isocarboxazid and Naratriptan can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Isocarboxazid irreversibly inhibits monoamine oxidase and naratriptan is a 5-HT1B/1D agonist. Both increase serotonergic or vasoconstrictor tone, so serotonin syndrome or hypertensive effects are possible, although naratriptan is not mainly cleared by MAO.

How serious is the interaction between Isocarboxazid and Naratriptan?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid where possible; if used, give naratriptan at the lowest dose and monitor blood pressure and for serotonin toxicity.

What other medicines interact with Isocarboxazid?

MediHelp also lists interactions of Isocarboxazid with, for example, 5-HTP, Amitriptyline, Amobarbital. The full list is on the Isocarboxazid page.

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