Drug Interactions

Many people with Parkinson's take Eldepryl (also known by trade name Deprenyl and generic name Selegiline HCl). This is a selective mono-amine oxidase inhibitor type B which has interactions with many other medications, both of the prescription and over-the-counter variety. Double-check with your doctors and pharmacist (chemist) before taking any new medications! Read through the printed material packaged with the medication!

A database that gives a thorough treatment of interactions, prepared and maintained by John Cottingham and other Parkinsonians, is available for you to puruse.

NPF's list of contraindicated medications is also available.

A booklet on interaction between food and drugs is now available from the National Consumer League.


The following is a list of drugs not recommended for people with Parkinsons, taken from a card published by APDA; alas, it shows only U.S. trade names and only drugs available in the U.S.

DRUGS CONTRAINDICATED FOR PARKINSON'S DISEASE PATIENTS

The term "contraindicated" essentially means that the drug in question should not be given to a Parkinsonian. In Parkinson's disease, the basic problem is the chemical nature of the disease itself. Many drugs alter the brain's dopamine system and may not be recognized as having a potential detrimental effect on Parkinson's disease simply because the drugs are employed for the treatment of other conditions. All patients with Parkinson's disease should have a list of these drugs available for their physician's reference and for emergency situations.

This list was compiled by Paul A. Nausieda, MD, Director of the APDA Information & Referral Center, Milwaukee, Wisconsin. 1800-972-5455. The American Parkinson Disease Association, Inc. is making this list available in an effort to reduce problems that may be caused by these drugs in patients with Parkinson's disease.

DRUG-CATEGORY TRADE NAME GENERIC NAME
Antipsychotic Haldol Haloperidol
Trilafon Perphenazine
Thorazine Chlorpromazine
Stelazine Trifluoperazine
Prolixin, Permitil Flufenazine
Navane Thiothixene
Mellaril (high dosage) Thioridazine
Loxitane Loxapine HCL
-
Antidepressant Triavil Combination of Perphenazine & Amitryptyline
Ascendin Amoxapine
* Nardil Phenelzine
* Parnate Tranylcypromine
-
Antivomiting Compazine Porchlorperazine
Reglan Metoclopramide
Torecan Thiethylperazine
-
Miscellaneous,
Blood Pressure,
Post-Op Medications


Serpasil


Reserpine
Raudixin Rauwolfia Serpentina
Rauverid none
Wolfina none
Harmonyl Deserpine
Moderil Rescinnamine
Rauwiloid none
-
Narcotic, Analgesic * Demerol Meperidine
-
Various Aldomet Alpha-methyldopa
Dilantin Phenytoin
Lithium none
Buspar Buspirone
-
* With Eldepryl Treatment



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Revised 27 May, 2004