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Clonazepam and Selegiline

Determining the interaction of Clonazepam and Selegiline and the possibility of their joint administration.

Check result:
Clonazepam <> Selegiline
Relevance: 03.12.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Using clonazePAM together with selegiline may occasionally cause high blood pressure and flushing. Contact your doctor if you experience severe headache, blurred vision, confusion, seizures, chest pain, nausea or vomiting, sudden numbness or weakness (especially on one side of the body), speech difficulties, fever, sweating, lightheadedness, and/or fainting during treatment with these medications, as these may be signs and symptoms of excessively high blood pressure. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

MONITOR: Limited clinical data suggest that concomitant use of clonazepam with monoamine oxidase inhibitors (MAOIs) may precipitate a hypertensive and/or flushing reaction. The mechanism of interaction has not been established. Phenelzine has been specifically implicated. Data for other combinations of MAOIs and benzodiazepines are not available.

MANAGEMENT: Until more information is available, patients should be monitored for development of hypertension during coadministration of clonazepam with an MAOI or or other agents that possess MAOI activity such as furazolidone, linezolid, methylene blue, and procarbazine. Patients should be advised to notify their physician if they develop severe headaches or flushing.

References
  • Eppel AB "Interaction between clonazepam and phenelzine." Can J Psychiatry 35 (1990): 647
  • Karagianis JL, March H "Flushing reaction associated with the interaction of phenelzine and clonazepam." Can J Psychiatry 36 (1991): 389
Clonazepam

Generic Name: clonazepam

Brand name: Klonopin, Klonopin Wafer

Synonyms: ClonazePAM

Selegiline

Generic Name: selegiline

Brand name: Eldepryl, Zelapar, Emsam

Synonyms: n.a.

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

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