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Does Remifentanil Hydrochloride Interact with Monoamine Oxidase Inhibitors Maois?

Remifentanil Hydrochloride and Monoamine Oxidase Inhibitors Maois have a contraindicated drug interaction according to U.S. FDA drug labeling data. May manifest as serotonin syndrome or opioid toxicity. Not recommended for patients taking MAOIs or within 14 days of stopping treatment. The mechanism involves serotonergic neurotransmitter system interaction and opioid toxicity. Patients taking both medications should consult their healthcare provider before starting, stopping, or changing the dosage of either drug. This information is based on official FDA drug labeling sourced from OpenFDA and the NIH National Library of Medicine.

Severity
Contraindicated
Management
Do not take together
Data Source
U.S. FDA via OpenFDA

How This Interaction Works

The interaction between Remifentanil Hydrochloride and Monoamine Oxidase Inhibitors Maois occurs because serotonergic neurotransmitter system interaction and opioid toxicity. Clinically, this means may manifest as serotonin syndrome or opioid toxicity. not recommended for patients taking maois or within 14 days of stopping treatment. Because of the severity of this interaction, these medications are contraindicated — meaning they should not be taken together under any circumstances. If you are currently taking both, contact your healthcare provider immediately to discuss alternatives.

What To Tell Your Doctor or Pharmacist

If you are taking Remifentanil Hydrochloride and your doctor is considering prescribing Monoamine Oxidase Inhibitors Maois (or vice versa), make sure to:

  • Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
  • Ask whether the benefits of combining these medications outweigh the risks for your specific situation
  • Ask what symptoms to watch for that would indicate the interaction is causing problems
  • Ask about alternative medications that do not interact with your current regimen
  • Ask how frequently you should be monitored while these are co-prescribed
  • Never stop or change either medication without first consulting your healthcare provider
💊 Remifentanil Hydrochloride(Remifentanil Hydrochloride)+💊 Monoamine Oxidase Inhibitors Maois

Severity & Interaction Details

⛔
contraindicated
Avoid this combination
FDA labeling lists this pair as contraindicated. The risk outweighs the benefit in nearly all cases.
Severity scale
MinorContra
On record
Yes
Drug A class
—
Drug B class
—
Source
NLP:remifentanil hydrochloride

What this means in plain English

May manifest as serotonin syndrome or opioid toxicity. Not recommended for patients taking MAOIs or within 14 days of stopping treatment.

What the FDA label says

"Serotonergic neurotransmitter system interaction and opioid toxicity"

📖 Source: NLP:remifentanil hydrochloride

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Data sourced from U.S. FDA drug labeling via openFDA and the NIH National Library of Medicine. For informational purposes only. Always consult your pharmacist or physician.