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藥物交互作用

Mirtazapine + Rasagiline

嚴重程度: 禁忌併用

Mirtazapine and Rasagiline: 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

Combining mirtazapine with the MAO-B inhibitor rasagiline raises the risk of serotonin syndrome and, at higher doses where selectivity is lost, of hypertensive reactions. Labeling advises against concurrent use and requires a washout between the drugs.

用白話說明這項交互作用的意義

Mirtazapine and Rasagiline 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.

Mirtazapine belongs to Central Nervous System; Rasagiline belongs to Central Nervous System.

證據等級: Moderate

為什麼會發生

Additive increase in synaptic serotonin and norepinephrine through MAO inhibition combined with mirtazapine's monoaminergic enhancement.

處置方式

Do not co-administer; wait at least 14 days after stopping rasagiline before starting mirtazapine, and at least 14 days after stopping mirtazapine before starting rasagiline.

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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常見問題

Can I take Mirtazapine with Rasagiline?

MediHelp rates the interaction as contraindicated. Mirtazapine and Rasagiline 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. Combining mirtazapine with the MAO-B inhibitor rasagiline raises the risk of serotonin syndrome and, at higher doses where selectivity is lost, of hypertensive reactions. Labeling advises against concurrent use and requires a washout between the drugs.

How serious is the interaction between Mirtazapine and Rasagiline?

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; wait at least 14 days after stopping rasagiline before starting mirtazapine, and at least 14 days after stopping mirtazapine before starting rasagiline.

What other medicines interact with Mirtazapine?

MediHelp also lists interactions of Mirtazapine with, for example, Isocarboxazid, Phenelzine, Pimozide. The full list is on the Mirtazapine page.

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