Drug interactions
Buprenorphine + Moxonidine
Severity: Moderate
Buprenorphine and Moxonidine: moderate 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
Moxonidine, a centrally acting antihypertensive, can cause drowsiness and low blood pressure. With buprenorphine these effects may add up, causing excess sedation and dizziness.
What this interaction means in plain words
Buprenorphine and Moxonidine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Why it happens
Additive CNS depression and hypotensive effects.
What to do
Monitor sedation and blood pressure when starting or adjusting either drug. Advise patients to rise slowly and avoid driving if drowsy.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Other interactions of Buprenorphine
- Alvimopan + Buprenorphine Contraindicated
- Buprenorphine + Calcium / magnesium / potassium / sodium oxybates Contraindicated
- Buprenorphine + Olanzapine / samidorphan Contraindicated
- Buprenorphine + Phenelzine Contraindicated
- Buprenorphine + Pimozide Contraindicated
- Buprenorphine + Thioridazine Contraindicated
Frequently asked questions
Can I take Buprenorphine with Moxonidine?
MediHelp rates the interaction as moderate. Buprenorphine and Moxonidine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Moxonidine, a centrally acting antihypertensive, can cause drowsiness and low blood pressure. With buprenorphine these effects may add up, causing excess sedation and dizziness.
How serious is the interaction between Buprenorphine and Moxonidine?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor sedation and blood pressure when starting or adjusting either drug. Advise patients to rise slowly and avoid driving if drowsy.
What other medicines interact with Buprenorphine?
MediHelp also lists interactions of Buprenorphine with, for example, Alvimopan, Calcium / magnesium / potassium / sodium oxybates, Olanzapine / samidorphan. The full list is on the Buprenorphine page.
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