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Drug interactions

Amisulpride + Oliceridine

Severity: Major

Amisulpride and Oliceridine: major interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Oliceridine is an intravenous opioid, and amisulpride may increase sedation, hypotension and respiratory depression. This is a concern especially with higher doses or in frail patients.

What this interaction means in plain words

Amisulpride and Oliceridine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Amisulpride belongs to Central Nervous System; Oliceridine belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

Additive CNS and respiratory depression from mu-opioid agonism and dopamine D2 antagonism.

What to do

Use the lowest effective oliceridine dose and titrate carefully. Monitor sedation level, respiratory rate and oxygen saturation.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amisulpride with Oliceridine?

MediHelp rates the interaction as major. Amisulpride and Oliceridine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Oliceridine is an intravenous opioid, and amisulpride may increase sedation, hypotension and respiratory depression. This is a concern especially with higher doses or in frail patients.

How serious is the interaction between Amisulpride and Oliceridine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective oliceridine dose and titrate carefully. Monitor sedation level, respiratory rate and oxygen saturation.

What other medicines interact with Amisulpride?

MediHelp also lists interactions of Amisulpride with, for example, Amiodarone, Arsenic trioxide, Disopyramide. The full list is on the Amisulpride page.

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