Drug General Information (ID: DDIAET1SU8)
  Drug Name Linezolid Drug Info Epinephrine Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antibiotics Vasoconstrictor Agents
  Structure

 Mechanism of Linezolid-Epinephrine Interaction (Severity Level: Major)
     Additive hypertensive effects Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Linezolid Epinephrine
      Mechanism 1 Hypertensive effects Hypertensive effects
      Key Mechanism Factor 1
Factor Name Hypertensive effects
Factor Description Hypertension is defined as a blood pressure reading above a prescribed limit (130/90 mmHg). Most people with hypertension have no signs or symptoms; others may experience: severe headache, shortness of breath, nosebleeds, severe anxiety, and feeling a tingling sensation in the neck or head.
      Mechanism Description
  • Additive hypertensive effects by the combination of Linezolid and Epinephrine 
     Increased risk of hyperpyrexia Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Linezolid Epinephrine
      Mechanism 2 Hyperpyrexia Hyperpyrexia
      Key Mechanism Factor 2
Factor Name Hyperpyrexia
Factor Description Hyperthermia is an extreme, life-threatening increase in core body temperature. If hyperthermia persists for a long time or worsens, more serious symptoms may occur, such as confusion, headache, constricted pupils, vomiting, diarrhea, and decreased urine output.
      Mechanism Description
  • Increased risk of hyperpyrexia by the combination of Linezolid and Epinephrine 

Recommended Action
      Management Unless blood pressure and clinical status can be closely monitored, linezolid should not be administered in combination with direct- or indirect-acting sympathomimetic agents (e.g., pseudoephedrine, phenylpropanolamine), vasopressive agents (e.g., epinephrine, norepinephrine), or dopaminergic agents (e.g., dopamine, dobutamine). If the combination is used, lower initial dosages of adrenergic agents such as dopamine or epinephrine are recommended, with careful titration to the desired response.

References
1 Hendershot PE, Antal EJ, Welshman IR, Batts DH, Hopkins NK "Linezolid: pharmacokinetic and pharmacodynamic evaluation of coadministration with pseudoephedrine HCl, phenylpropanolamine HCl, and dextromethorpan HBr." J Clin Pharmacol 41 (2001): 563-72. [PMID: 11361053]
2 Product Information. Zyvox (linezolid) Pharmacia and Upjohn, Kalamazoo, MI.