20 請問病人因感染而使用下列何種抗生素時,應該避免食用 tyramine 含量高的食物如醃魚、酵母菌抽提物?
(A) Teicoplanin
(B) Vancomycin
(C) Daptomycin
(D) Linezolid
統計: A(35), B(15), C(28), D(307), E(0) #415527
詳解 (共 4 筆)
Linezolid原本是設計來作為抗憂鬱藥的弱MAOI
所以跟MAOI一樣不能跟高tyramine併服
Linezolid is a weak monoamine oxidase inhibitor (MAOI), and should not be used concomitantly with other MAOIs, large amounts of tyramine-rich foods (such as pork, aged cheeses, alcoholic beverages, or smoked and pickled foods), orserotonergic drugs. There have been postmarketing reports of serotonin syndrome when linezolid was given with or soon after the discontinuation of serotonergic drugs, particularly selective serotonin reuptake inhibitors such as paroxetine andsertraline.[50][68][69][70] It may also enhance the blood pressure-increasing effects of sympathomimetic drugs such aspseudoephedrine or phenylpropanolamine.[41][71] It should also not be given in combination with pethidine (meperidine) under any circumstance due to the risk of serotonin syndrome.
Linezolid does not inhibit or induce the cytochrome P450 (CYP) system, which is responsible for the metabolism of many commonly used drugs, and therefore does not have any CYP-related interactions.[2]