SSRIs Theophylline

Some of the drugs that have been reported to cause rhabdomyolysis are salicylates, amphotericin, quinine, statin drugs, SSRIs, theophylline, amphetamines, and others. 

Drugs that may be affected by SSRIs Drugs that may be affected by SSRIs include alcohol, benzodiazepines, beta blockers, buspirone, carbamazepine, cisapride, clozapine, cyclosporine, diltiazem, digoxin, haloperidol, hydantoins, lithium, methadone, mexiletine, nonsedating antihistamines, NSAIDs, olanzapine, phenothiazines, phenytoin, pimozide, procyclidine, ritonavir, ropivacaine, sumatriptan, sulfonylureas, sympathomimetics, tacrine, theophylline, tolbutamide, tricyclic antidepressants, and warfarin. 

T effects OF amiodarone, astemizole, atorvastadn, barbiturates, bepridil, bupropion, cerivastatin, cisapride, clorazepate, clozapine, clarithromycin, desipramine, diazepam, encainide, ergot alkaloids, estazolam, flecainide, flurazepam, indinavir, ketoconazole, lovastatin, meperidine, midazolam, nelfinavir, phenytoin, pimozide, piroxicam, propafenone, propoxyphene, quinidine, rifabutin, saquinavir, sildenafil, simvastatin, SSRIs, TCAs, terfenadine, triazolam, troleandomycin, zolpidem X effects W/ barbiturates, carbamazepine, phenytoin, rifabutin, rifampin, St. John s wort, tobacco X effects OF didanosine, hypnotics, methadone, OCPs, sedatives, theophylline, warfarin EMS T Effects of amiodarone, diazepam, midazolam and BBs, may need X- doses concurrent use of Viagra-type drugs can lead to hypotension X- effects of warfarin concurrent EtOH use can T adverse effects T glucose ODs May cause an extension of adverse SEs symptomatic and supportive Rivasrigmine (Exelon) [Cholinesterase Inhibitor/Anri ... 

THEOPHYLLINE SSRIs - FLUVOXAMINE T theophylline levels Fluvoxamine is potent inhibitor of CYP1A2 Consider an alternative antidepressant... 

P450 enzyme inhibition by SSRIs may also augment effects of alcohol, tramadol, methadone, terfenadine (danger of cardiac arrhythmia), -caine anaesthetics and theophylline. 

ASA = aspirin NSAIDs = non-steroidal anti-inflammatory drugs, such as ibuprofen, naproxen, and diclofenac CNS stimulants include drugs such as pseudoephedrine, dextroamphetamine, theophylline, and caffeine MAO = monoamine oxidase CNS depressants include drugs such as benzodiazepines, barbiturates, and ethanol SSRIs = selective serotonin reuptake inhibitors, such as fluoxetine, sertraline, and paroxetine. Antidiabetic agents include drugs such as insulin, glipizide, glyburide, and metformin. 

Can decrease levels of cyclosporine, digoxin, oral contraceptives, theophylline, and indinavir serotonin syndrome can occur when combined with prescription SSRIs Avoid use with benzodiazepines because of sedation... 

Serotonin reuptake inhibitors (SSRIs) Steroids (eg, prednisone) Theophylline... 

Cimetidine, fluoroquinolone antibiotics such as ciprofloxacin and the selective serotonin-reuptake inhibitor (SSRI) fluvoxamine inhibit the metabolism of theophylline, whereas, the its metabolism can be induced by smoking or by the ingestion of char-broiled meats. 

A Figure 7.2 Basic drugs and classes, the largest subgroup in the acid-base classification scheme. The alkaloids are (or at least once were) derived from plant matter, while nonalkaloids are generally synthetic or semisynthetic. Tropane alkaloids Include cocaine, while tryptamines include mescaline and psilocyn. Caffeine and theophylline are xanthine alkaloids. The selective serotonin reuptake inhibitors (SSRIs) include the second-generation SSRI antidepressants. Prozac (fluoxetine, shown) and Paxil belong to this class. 

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