Drug group |
Approved name |
Recommended withdrawal time |
Mechanism of interactiona |
|
---|---|---|---|---|
Cardiovascular and sympathomimetic drugs |
||||
Antiarrhythmics for ventricular arrhythmias |
Amiodarone |
Not practical to withdraw |
1,3 |
|
Combined α/β-blocker |
Labetalol |
72 hours |
1,3 |
|
Adrenergic neurone blockers |
Bretylium |
48 hours |
2,3 |
|
Guanethidine |
48 hours |
2,3 |
||
Reserpine |
48 hours |
2,3 |
||
α-Blocker |
Phenoxybenzamine (intravenous doses only) |
15 days |
5 |
|
Calcium channel blockers |
Amlodipine |
48 hours |
4,5 |
|
Diltiazem |
24 hours |
4,5 |
||
Felodipine |
48 hours |
4,5 |
||
Isradipine |
48 hours |
4,5 |
||
Lacidipine |
48 hours |
4,5 |
||
Lercanidipine |
48 hours |
4,5 |
||
Nicardipine |
48 hours |
4,5 |
||
Nifedipine |
24 hours |
4,5 |
||
Nimodipine |
24 hours |
4,5 |
||
Nisoldipine |
48 hours |
4,5 |
||
Verapamil |
48 hours |
4,5 |
||
Inotropic sympathomimetics |
Dobutamine |
24 hours |
3 |
|
Dopamine |
24 hours |
3 |
||
Dopexamine |
24 hours |
3 |
||
Vasoconstrictor sympathomimetics |
Ephedrine |
24 hours |
1 |
|
Metaraminol |
24 hours |
3 |
||
Norepinephrine |
24 hours |
3 |
||
Phenylephrine |
24 hours |
3 |
||
β2 stimulants (sympathomimetics) |
Salbutamol |
24 hours |
3 |
|
Terbutaline |
24 hours |
3 |
||
Eformoterol |
24 hours |
3 |
||
Bambuterol |
24 hours |
3 |
||
Fenoterol |
24 hours |
3 |
||
Salmeterol |
24 hours |
3 |
||
Other adrenoreceptor stimulants |
Orciprenaline |
24 hours |
3 |
|
Systemic and local nasal decongestants, compound cough and cold preparations |
Pseudoephedrine |
48 hours |
3 |
|
Phenylephrine |
48 hours |
3 |
||
Ephedrine |
24 hours |
1 |
||
Xylometazoline |
24 hours |
3 |
||
Oxymetazoline |
24 hours |
3 |
||
Sympathomimetics for glaucoma |
Brimonidine |
48 hours |
3 |
|
Dipivefrine |
48 hours |
3 |
||
Neurological drugs |
||||
Antipsychotics (neuroleptics) |
Chlorpromazine |
24 hours |
1 |
|
Benperidol |
48 hours |
1 |
||
Flupentixol |
48 hours, or 1 month for depot |
1 |
||
Fluphenazine |
24 hours, or 1 month for depot |
1 |
||
Haloperidol |
48 or 1 month for depot |
1 |
||
Levomepromazine |
72 hours |
1 |
||
Pericyazine |
48 hours |
1 |
||
Perphenazine |
24 hours |
1 |
||
Pimozide |
72 hours |
1 |
||
Pipotiazine |
1 month for depot |
1 |
||
Prochlorperazine |
24 hours |
1 |
||
Promazine |
24 hours |
1 |
||
Sulpiride |
48 hours |
1 |
||
Thioridazine |
24 hours |
1 |
||
Trifluoperazine |
48 hours |
1 |
||
Zuclopenthixol |
48 hours, or 1 month for depot |
1 |
||
Amisulpride |
72 hours |
1 |
||
Clozapine |
7 days |
1 |
||
Olanzapine |
7–10 days |
1 |
||
Quetiapine |
48 hours |
1 |
||
Risperidone |
5 days or 1 month for depot |
1 |
||
Sertindole |
15 days |
1 |
||
Zotepine |
5 days |
1 |
||
Sedating antihistamines |
Promethazine |
24 hours |
1 |
|
Opioid analgesics |
Tramadol |
24 hours |
1 |
|
Tricyclic antidepressants |
Amitriptyline |
48 hours |
1 |
|
Amoxapine |
48 hours |
1 |
||
Clomipramine |
24 hours |
1 |
||
Dosulepin (dothiepin) |
24 hours |
1 |
||
Doxepin |
24 hours |
1 |
||
Imipramine |
24 hours |
1 |
||
Lofepramine |
48 hours |
1 |
||
Nortriptyline |
24 hours |
1 |
||
Trimipramine |
48 hours |
1 |
||
Tricyclic-related antidepressants |
Maprotiline |
48 hours |
1 |
|
Mianserin |
48 hours |
1 |
||
Trazolone |
48 hours |
1 |
||
Venlaflaxine |
48 hours |
1 |
||
Mirtazepine |
8 days |
1 |
||
Reboxetine |
3 days |
1 |
||
CNS stimulants |
Amphetamines, e.g. dexamfetamine |
48 hours |
3 |
|
Atomoxetine |
5 days |
1 |
||
Methylphenidate |
48 hours |
5 |
||
Modafinil |
72 hours |
5 |
||
Cocaine |
24 hours |
1 |
||
Caffeine |
24 hours |
5 |
aMechanisms of interaction:
1: Inhibition of sodium-dependent uptake system (i.e. uptake-one inhibition)
2: Transport interference: inhibition of uptake by active transport into vesicles, i.e. inhibition of granular uptake, and competition for transport into vesicles, i.e. competition for granular uptake
3: Depletion of content from storage vesicles/granules
4: Calcium-mediated
5: Other, possible, unknown mechanisms