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Guanadrel and Maprotiline Hydrochloride

Determining the interaction of Guanadrel and Maprotiline Hydrochloride and the possibility of their joint administration.

Check result:
Guanadrel <> Maprotiline Hydrochloride
Relevance: 01.08.2022 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 maprotiline together with guanadrel may decrease the effects of guanadrel. Contact your doctor if your condition changes. If your doctor does prescribe these medications together, you may need a dose adjustment or need your blood pressure and heart rate checked more often 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: Maprotiline may decrease the antihypertensive effect of guanethidine. The mechanism is competition for adrenergic neurons and inhibition of noradrenaline (norepinephrine) reuptake. Hypotension may occur if maprotiline is discontinued during guanethidine therapy. Data are limited and the interaction is unpredictable. Maprotiline may be less likely to interact than tricyclic antidepressants. Other adrenergic neurone blockers may also be affected.

MANAGEMENT: Blood pressure monitoring is recommended during concurrent use and after discontinuation of the antidepressant. An alternative antihypertensive or antidepressant may be considered if evidence of an interaction is observed.

References
  • Briant RH, George CF "The assessment of potential drug interactions with a new tricyclic antidepressant drug." Br J Clin Pharmacol 1 (1974): 113-8
Guanadrel

Generic Name: guanadrel

Brand name:

Synonyms: Guanadrel (Oral)

Maprotiline Hydrochloride

Generic Name: maprotiline

Brand name: Ludiomil

Synonyms: Maprotiline

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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