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异烟肼与抗抑郁药:是否需要担忧?

Isoniazid and antidepressants: is there cause for concern?

作者信息

Judd F K, Mijch A M, Cockram A, Norman T R

机构信息

Fairfield Infectious Diseases Hospital, Australia.

出版信息

Int Clin Psychopharmacol. 1994 Summer;9(2):123-5.

PMID:8056994
Abstract

The antituberculous drug isoniazid has weak monoamine oxidase inhibiting properties. Drug and dietary restrictions generally applied to the use of monoamine oxidase inhibitors (MAOI) have not been routinely recommended with its use. Here we report three cases in which antidepressant drugs and isoniazid were co-administered. In two, adverse events, possibly due to an interaction between the drugs prescribed are described. We suggest that the combination of isoniazid and antidepressants be used with caution until further data are accumulated.

摘要

抗结核药物异烟肼具有较弱的单胺氧化酶抑制特性。一般应用于单胺氧化酶抑制剂(MAOI)使用的药物和饮食限制,在使用异烟肼时并未常规推荐。在此我们报告三例同时使用抗抑郁药物和异烟肼的病例。其中两例描述了可能由于所开药物之间相互作用导致的不良事件。我们建议,在积累更多数据之前,应谨慎使用异烟肼和抗抑郁药物的联合用药。

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Isoniazid and antidepressants: is there cause for concern?异烟肼与抗抑郁药:是否需要担忧?
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Isoniazid-Associated Serotonin Toxicity in the Critical Care Setting: A Case Report.重症监护环境中异烟肼相关的5-羟色胺毒性:一例报告
Cureus. 2025 Apr 16;17(4):e82362. doi: 10.7759/cureus.82362. eCollection 2025 Apr.
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The antidepressant sertraline provides a novel host directed therapy module for augmenting TB therapy.抗抑郁药舍曲林为增强结核病治疗提供了一种新的宿主导向治疗模块。
Elife. 2023 Jan 11;12:e64834. doi: 10.7554/eLife.64834.
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Official American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America Clinical Practice Guidelines: Treatment of Drug-Susceptible Tuberculosis.
美国胸科学会/疾病控制与预防中心/美国传染病学会官方临床实践指南:药物敏感型肺结核的治疗
Clin Infect Dis. 2016 Oct 1;63(7):e147-e195. doi: 10.1093/cid/ciw376. Epub 2016 Aug 10.
4
Treatment of Comorbid Tuberculosis and Depression.合并肺结核与抑郁症的治疗
Prim Care Companion J Clin Psychiatry. 2001 Dec;3(6):236-243. doi: 10.4088/pcc.v03n0610.
5
Clinically significant interactions with drugs used in the treatment of tuberculosis.与用于治疗结核病的药物存在具有临床意义的相互作用。
Drug Saf. 2002;25(2):111-33. doi: 10.2165/00002018-200225020-00005.
6
Serotonin syndrome and drug combinations: focus on MAOI and RIMA.血清素综合征与药物组合:聚焦单胺氧化酶抑制剂和可逆性单胺氧化酶抑制剂
Eur Arch Psychiatry Clin Neurosci. 1997;247(3):113-9. doi: 10.1007/BF03033064.