Drug interactions could change how your drugs work or improve your threat for critical unintended effects. This doc doesn’t include all potential drug interactions. Preserve an inventory of all of the merchandise you employ (together with prescription/nonprescription medication and natural merchandise) and share it together with your physician and pharmacist. Don’t begin, cease, or change the dosage of any medicines with out your physician’s approval.
Some merchandise that will work together with this drug embrace: tricyclic antidepressants (reminiscent of amitriptyline, imipramine).
Taking MAO inhibitors with this treatment could trigger a critical (presumably deadly) drug interplay. Keep away from taking MAO inhibitors (isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) throughout remedy with this treatment. Most MAO inhibitors also needs to not be taken for 2 weeks earlier than remedy with this treatment. Ask your physician when to begin or cease taking this treatment.
Earlier than utilizing this treatment, report the usage of medication that improve serotonin, together with road medication (reminiscent of MDMA/”ecstasy”), St. John’s wort, sure antidepressants (together with SSRIs reminiscent of fluoxetine/paroxetine, SNRIs reminiscent of duloxetine/venlafaxine), tramadol, amongst others.
Inform your physician or pharmacist in case you are taking different merchandise that trigger drowsiness reminiscent of opioid ache or cough relievers (reminiscent of codeine, hydrocodone), alcohol, marijuana (hashish), medication for sleep or anxiousness (reminiscent of alprazolam, lorazepam, zolpidem), different muscle relaxants (reminiscent of carisoprodol, methocarbamol), or antihistamines (reminiscent of cetirizine, diphenhydramine).
Verify the labels on all of your medicines (reminiscent of allergy or cough-and-cold merchandise) as a result of they could include substances that trigger drowsiness. Ask your pharmacist about utilizing these merchandise safely.