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Esmolol Intravenous and Zyvox Injection

Determining the interaction of Esmolol Intravenous and Zyvox Injection and the possibility of their joint administration.

Check result:
Esmolol Intravenous <> Zyvox Injection
Relevance: 23.04.2023 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:

Linezolid may increase the effects of esmolol on your blood pressure and heart rate. Contact your doctor if you experience dizziness, lightheadedness, fainting, a slow pulse or heart rate, chest pain, shortness of breath, difficulty breathing, and/or swelling of the legs, ankles, or feet. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. 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: Sympathetic ganglion-blocking or catecholamine-depleting agents such as guanethidine, reserpine, and monoamine oxidase (MAO) inhibitors may potentiate the pharmacologic effects of beta-blockers, which are thought to competitively antagonize catecholamines at cardiac and other peripheral adrenergic neurons. Combining these medications may increase the risk of hypotension, orthostasis, bradycardia, and heart failure due to excessive reduction of sympathetic activity. A case report describes two elderly patients who developed bradycardia less than 2 weeks after the initiation of phenelzine during treatment with a beta-blocker (nadolol 40 mg/day or metoprolol 150 mg/day). The pulse rates returned to normal following a 50% reduction of the nadolol dosage and discontinuation of metoprolol. In another report, a young woman developed marked orthostatic hypotension following the addition of pindolol 2.5 mg three times a day to an existing regimen of tranylcypromine. The pindolol dosage was reduced to 2.5 mg twice a day until her blood pressure stabilized, then slowly increased to 5 mg three times a day.

MANAGEMENT: Caution is advised if beta-blockers, including ophthalmic formulations, are prescribed in combination with sympathetic ganglion-blocking or catecholamine-depleting agents. Patients should contact their doctor if they experience dizziness, lightheadedness, syncope, bradycardia, shortness of breath, difficulty breathing, edema, and/or chest pain.

References
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  • "Product Information. Nardil (phenelzine)." Parke-Dvis, Morris Plains, NJ.
  • "Product Information. Parnate (tranylcypromine)." SmithKline Beecham, Philadelphia, PA.
  • "Product Information. Marplan (isocarboxazid)" Roche Laboratories, Nutley, NJ.
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  • "Product Information. Toprol-XL (metoprolol)" Astra-Zeneca Pharmaceuticals, Wilmington, DE.
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  • "Product Information. Hylorel (guanadrel)." Rhone-Poulenc Rorer, Collegeville, PA.
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Esmolol Intravenous

Generic Name: esmolol

Brand name: Brevibloc

Synonyms: Esmolol

Zyvox Injection

Generic Name: linezolid

Brand name: Zyvox

Synonyms: Zyvox

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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