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Interaction with drugs

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

MAOIs must not be used to treat a patient if the patient is also taking drugs that depend on enzymes affected by MAOI for their metabolism, for example:-

  • sympathomimetic amines eg adrenaline, noradrenaline
  • cold cures containing phenylpropanolamine and ephedrine
  • methyl dopa
  • antihistamines
  • some local anaesthetics
  • morphine, pethidine, procaine, alcohol, insulin, barbiturates. The effects of oral hypoglycaemic drugs may be heightened.

There may be dangerous interactions between tricyclics and MAOIs, which means that a tricyclic should not be given for about 2 weeks after stopping a MAOI. A drug- free interval is not required if the tricyclic is given first, which is a reason why tricyclics are used first in depressive illness and having a MAOI as a reserve.


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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