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We generalize Kato's adiabatic theorem to nonunitary dynamics with an isospectral generator. This enables us to unify two strong-coupling limits: one driven by fast oscillations under a Hamiltonian, and the other driven by strong damping under a Lindbladian. We discuss the case where both mechanisms are present and provide nonperturbative error bounds. We also analyze the links with the quantum Zeno effect and dynamics.