epocrates logo
epocrates logo
epocrates logo
  • 0

Interaction Check

epocrates logo

Sign in to access our clinical decision support tools

Sign in Create Account

Selected Drugs Clear All

  • remove Singulair
    montelukast
  • remove Tofranil
    imipramine
  • remove Zicam Extreme Congestion Relief
    oxymetazoline nasal
  • remove Zurzuvae
    zuranolone

multicheck MultiCheck Results - 2 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Tofranil (imipramine) + Zurzuvae (zuranolone)

Avoid/Use Alternative


imipramine + zuranolone

use alternative or consider decr. dose of one or both drugs: combo may incr. risk of CNS depression, psychomotor impairment (additive effects)

Monitor/Modify Tx

Smiley face Smiley face Tofranil (imipramine) + Zicam Extreme Congestion Relief (oxymetazoline nasal)

Monitor/Modify Tx


imipramine + oxymetazoline nasal

monitor BP: combo may incr. risk of HTN (additive effects)

Additional Considerations

Smiley face Smiley face imipramine in Tofranil

add MAO inhibitor to Interaction Check if recent (14 days) use

Help
FDA Reporting Form
 
Download Epocrates from the App Store Download Epocrates from the Play Store
About Us Features Business Solutions Help & Feedback
© 2026 epocrates, Inc.    Terms of Use Privacy Policy Editorial Policy Do Not Sell or Share My Information