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Puis-je prendre Amitriptyline et Trazodone ensemble ?

Guide d'interaction médicamenteuse

Taking amitriptyline and trazodone together can significantly increase the risk of a rare but serious condition called serotonin syndrome. It can also make you feel extremely drowsy, dizzy, and confused. Both medications can affect your heart rhythm, and using them together increases the risk of an irregular heartbeat.

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Pourquoi cela se produit

Both drugs increase the levels of a chemical called serotonin in the brain; too much serotonin can lead to toxicity. Additionally, both drugs have sedative effects and can interfere with the electrical signals in the heart (QT prolongation).

You should only take these two medications together if specifically prescribed by a specialist who is monitoring you closely. Seek immediate medical help if you experience a very fast or irregular heartbeat, severe dizziness, fainting, muscle stiffness, tremors, or high fever. Avoid driving or operating machinery until you know how this combination affects you.

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Dépression et troubles de la santé mentale

Both medicines can increase thoughts of self-harm or suicide, particularly when first starting the medicine or changing the dose. Monitor your mood closely and seek urgent medical help if you experience any distressing thoughts.

Serotonin Syndrome risk

Do not take these medicines with other antidepressants or St John's Wort. Combining them can cause a life-threatening condition called serotonin syndrome, marked by high fever, agitation, and muscle rigidity.

Heart rhythm disorders (Long QT)

These medicines can affect your heart rhythm. You must inform your doctor if you have a history of heart disease or a slow heart rate, as they can trigger a dangerous irregular heartbeat.

Glaucoma (Acute Angle-Closure)

Amitriptyline can cause a sudden, painful increase in eye pressure. Do not take this medicine if you have a history of glaucoma without specialist advice, and seek immediate help if you experience sudden blurred vision or eye pain.

Alcool

You should avoid or strictly limit alcohol while taking these medicines. Both amitriptyline and trazodone cause drowsiness; alcohol significantly increases this effect, which can impair your coordination, judgment, and breathing. It can also make your depression or anxiety worse.

Caféine (Café, Thé, Boissons Énergisantes)

Amitriptyline can sometimes increase the effects of caffeine, making you feel jittery, anxious, or unable to sleep. Conversely, high amounts of caffeine may reduce the sedative effectiveness of the medicine. Try to keep your caffeine intake consistent and moderate.

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Taking multiple medicines? Our Vérificateur d'Interactions Médicamenteuses helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Avertissement

Ces informations sont fournies à des fins éducatives générales uniquement et ne doivent pas être considérées comme un substitut aux conseils médicaux professionnels. Consultez toujours votre médecin généraliste, votre pharmacien ou un autre professionnel de santé qualifié avant de prendre des décisions concernant vos médicaments. Les circonstances individuelles peuvent varier, et seul un professionnel de santé connaissant votre historique médical peut fournir des conseils personnalisés.

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Historique de l'article

Les informations sur cette page sont rédigées et examinées par des cliniciens qualifiés.

  • 25 janv. 2026 | Publié à l'origine
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