Monograph Details
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Central Nervous System
> Mood disorders
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NARDIL |
| Manufacturer |
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Pfizer Labs |
| Legal Classification |
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Rx
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| Pharmacological Class |
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MAOI. |
| Generic Name |
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Phenelzine sulfate 15mg; tabs. |
| Indications |
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Refractory depression. |
| Children |
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<16 yrs: not recommended. |
| Adults |
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Initially 15mg three times daily. Increase if needed to max 90mg daily. Reduce dose as condition improves. |
| Contraindications |
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See Interactions. Pheochromocytoma. Cardiovascular, cerebrovascular, or liver disease. Hypertension. Chronic headache. To avoid potentially severe or fatal interactions, allow sufficient drug-free interval (see literature) between phenelzine and: sympathomimetics (e.g., amphetamines, pseudoephedrine), tricyclic antidepressants (e.g., amitriptyline), maprotiline, mirtazapine, SSRIs or other neurotransmitter reuptake inhibitors (e.g., fluoxetine), CNS depressants (e.g., alcohol, barbiturates, narcotics), antihistamines, antihypertensives (e.g., guanethidine), anesthetics, bupropion, buspirone, carbamazepine, cyclobenzaprine, dibenzazepines, diuretics, dextromethorphan, dopamine, other MAOIs (e.g., tranylcypromine, selegiline, furazolidone, isocarboxazid), levodopa, methyldopa, methylphenidate, tryptophan, phenylalanine, tryptophan-, dopamine-, tyrosine-, or tyramine-containing foods, excess caffeine or chocolate. Meperidine within three weeks of phenelzine. |
| Precautions |
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Hypotension. Suicidal tendencies. Psychosis. Epilepsy. Hyperthyroidism. Surgery. Discontinue if palpitations or headache occurs and 48 hrs before to 24 hrs after myelography. Avoid abrupt cessation. Monitor blood pressure and observe patient frequently. May mask anginal pain or aggravate anxiety or agitation. Elderly. Debilitated. Pregnancy. Nursing mothers. |
| Interactions |
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See Contraindications. Hypertensive crises with sympathomimetics, levodopa, and high-tyramine foods (including cheese, salami, chocolate, wine, beer, pickled herring, chicken livers, yeast extract, yogurt, broad beans, others). Caution with antidiabetic agents, antiparkinson agents, disulfiram. Potentiates CNS depressants, antihypertensives. Psychosis with dextromethorphan. Circulatory collapse, coma, death with meperidine. Do not start within 5 wks of fluoxetine, or 2 wks of sertraline, paroxetine, bupropion, citalopram, or 1 wk of venlafaxine discontinuance. |
| Adverse Reactions |
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Orthostatic hypotension, headache, CNS overstimulation, jaundice, seizures, changes in blood sugar, anticholinergic effects, GI disorders, rash, weight gain, sexual disturbances. |
| How Supplied |
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Tabs—100 |
| Additional Resources |
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• Related Prescribing Note |
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