Selegiline and Zicam Extreme Congestion Relief

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.

Using oxymetazoline nasal together with selegiline may increase cardiovascular side effects such as blood pressure elevations and increased heart rate. Talk to your doctor if you have any questions or concerns, especially if you have a history of high blood pressure, irregular heart rhythm, or heart disease. Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or more frequent monitoring 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.

MONITOR: By inhibiting the breakdown of catecholamines, monoamine oxidase inhibitors (MAOIs) may theoretically potentiate the cardiovascular effects of systemically absorbed sympathomimetic agents following topical administration (e.g., nasal decongestants, ophthalmic vasoconstrictors). However, the interaction has not been reported extensively in the medical literature. No increase in blood pressure or heart rate was observed when tranylcypromine was administered to a patient using 1% epinephrine eye drop twice a day. Most topical decongestants and vasoconstrictors are direct-acting sympathomimetics, which appear to be less affected by MAOIs than indirect- or mixed-acting sympathomimetics such as pseudoephedrine or ephedrine. While MAOI use has been reported to precipitate severe hypertensive reactions and hyperpyrexia in patients receiving indirect- or mixed-acting agents, most studies have found minimal effect on pressor response to systemically administered direct-acting agents including epinephrine, norepinephrine, and isoproterenol. Nevertheless, increased pressor effects and greater than 50% reductions in the required dosage of direct-acting agents have been reported in hypertensive patients who were being treated for MAOI-induced postural hypotension. There have also been occasional reports of increased blood pressure and heart rate in patients receiving systemic direct-acting agents and MAOIs.

MANAGEMENT: Although data are limited, caution may be advisable when topical decongestants and vasoconstrictors are coadministered with MAOIs or other agents that possess MAOI activity (e.g., furazolidone, linezolid, methylene blue, procarbazine).

Selegiline

Generic Name: selegiline

Brand name: Eldepryl, Zelapar, Emsam

Synonyms: n.a.

What is Selegiline?

Zicam Extreme Congestion Relief

Generic Name: oxymetazoline nasal

Brand name: 12 Hour Nasal, Afrin, Afrin No Drip Sinus, Allerest 12 Hour Nasal Spray, Dristan 12-Hour, Duramist Plus, Duration, Mucinex Full Force, Mucinex Moisture Smart, Nasal Mist, Neo-Synephrine 12 Hour, Nostrilla, NRS Nasal, Sinarest Nasal, Sinex Long-Acting, Sudafed OM Sinus Cold, Zicam Extreme Congestion Relief, Zicam Sinus Relief, 12 Hour Decongestant, 12 Hour Nasal Decongestant, 12 Hour Nasal Relief Spray, 12 Hour Nasal Spray, Afrin 12 Hour, NTZ Long Acting Nasal, Genasal, Oxymeta-12, Twice-A-Day, Oxyfrin, Afrin Nasal Sinus, Four-Way Nasal Spray, Neo-Synephrine 12 Hour Extra Moisturizing, Afrin No Drip Severe Congestion, Afrin Pump Mist, Afrin Extra Moisturizing, Afrin Severe Congestion, Afrin Severe Congestion NoDrip, Afrin NoDrip Extra Moisturizing, Afrin All Night NoDrip, Sudafed OM Sinus Congestion, Sinex 12 Hour Moisturizing, Sinex 12 Hour, Sinex 12 Hour Ultra Fine Mist, Mucinex Sinus-Max Moisture Smart, Sinex Moisturizing Ultra Fine Mist, Sinex Severe Ultra Fine Mist, Sinex Severe

Synonyms: n.a.

What is Zicam Extreme Congestion Relief?