Drug General Information (ID: DDIUL2RA8Q)
  Drug Name Procarbazine Drug Info Amrinone Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antineoplastics Cardiovascular Agents
  Structure

 Mechanism of Procarbazine-Amrinone Interaction (Severity Level: Moderate)
     Additive hypotensive effects Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Procarbazine Amrinone
      Mechanism Hypotensive effects
Monoamine oxidase non-selective  Inhibitor
Hypotensive effects
Phosphodiesterase 4  Inhibitor
      Key Mechanism Factor 1
Factor Name Monoamine oxidase Structure Sequence
Protein Family Flavin monoamine oxidase family
Protein Function
Catalyzes the oxidative deamination of primary and some secondary amine such as neurotransmitters, with concomitant reduction of oxygen to hydrogen peroxide and has important functions in the metabolism of neuroactive and vasoactive amines in the central nervous system and peripheral tissues (PubMed:20493079, PubMed:8316221, PubMed:18391214, PubMed:24169519). Preferentially oxidizes serotonin (PubMed:20493079, PubMed:24169519). Also catalyzes the oxidative deamination of kynuramine to 3-(2-aminophenyl)-3-oxopropanal that can spontaneously condense to 4-hydroxyquinoline (By similarity).
    Click to Show/Hide
      Key Mechanism Factor 2
Factor Name Phosphodiesterase 4 Structure Sequence
Protein Family Cyclic nucleotide phosphodiesterase family
Protein Function
Hydrolyzes the second messenger 3',5'-cyclic AMP (cAMP), which is a key regulator of many important physiological processes.
    Click to Show/Hide
      Mechanism Description
  • Additive hypotensive effects by the combination of Procarbazine and Amrinone 

Recommended Action
      Management Caution is advised during coadministration of MAOIs and other medications with hypotensive effects, especially during the first few weeks of treatment. Close monitoring for development of hypotension is recommended. Ambulatory patients should be advised to avoid rising abruptly from a sitting or recumbent position and to notify their physician if they experience dizziness, lightheadedness, syncope, orthostasis, or tachycardia.

References
1 Product Information. Marplan (isocarboxazid) Roche Laboratories, Nutley, NJ.
2 Reggev A, Vollhardt BR "Bradycardia induced by an interaction between phenelzine and beta blockers." Psychosomatics 30 (1992): 106-8. [PMID: 2913594]
3 Schulz R, Antonin KH, Hoffmann E, et al "Tyramine kinetics and pressor sensitivity during monoamine oxidase inhibition by selegiline." Clin Pharmacol Ther 46 (1989): 528-36. [PMID: 2510962]