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Drug interactions

Aripiprazole + Sufentanil

Severity: Major

Aripiprazole and Sufentanil: 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

Opioids combined with other CNS depressants increase the risk of profound sedation, respiratory depression and hypotension. Aripiprazole has milder sedative effects but contributes to additive depression.

What this interaction means in plain words

Aripiprazole and Sufentanil 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.

Aripiprazole belongs to Central Nervous System; Sufentanil belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

Additive CNS and respiratory depression, with additive hypotensive effects.

What to do

Use the lowest effective sufentanil dose and monitor respiratory rate, sedation and blood pressure. Ensure appropriate monitoring and resuscitation capability in procedural settings.

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 Aripiprazole with Sufentanil?

MediHelp rates the interaction as major. Aripiprazole and Sufentanil 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. Opioids combined with other CNS depressants increase the risk of profound sedation, respiratory depression and hypotension. Aripiprazole has milder sedative effects but contributes to additive depression.

How serious is the interaction between Aripiprazole and Sufentanil?

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 sufentanil dose and monitor respiratory rate, sedation and blood pressure. Ensure appropriate monitoring and resuscitation capability in procedural settings.

What other medicines interact with Aripiprazole?

MediHelp also lists interactions of Aripiprazole with, for example, Pimozide, Thioridazine, Amisulpride. The full list is on the Aripiprazole page.

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