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Drug interactions

Buprenorphine buccal + Chlorpheniramine

Severity: Moderate

Buprenorphine buccal and Chlorpheniramine: 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

Combining an opioid with a sedating antihistamine increases drowsiness and may cause respiratory depression.

What this interaction means in plain words

Buprenorphine buccal and Chlorpheniramine 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.

Evidence level: Moderate

Why it happens

Additive CNS and respiratory depression.

What to do

Monitor sedation and breathing, and limit the sedative dose. Use a non-sedating antihistamine where possible.

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?

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 Buprenorphine buccal with Chlorpheniramine?

MediHelp rates the interaction as moderate. Buprenorphine buccal and Chlorpheniramine 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. Combining an opioid with a sedating antihistamine increases drowsiness and may cause respiratory depression.

How serious is the interaction between Buprenorphine buccal and Chlorpheniramine?

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 breathing, and limit the sedative dose. Use a non-sedating antihistamine where possible.

What other medicines interact with Chlorpheniramine?

MediHelp also lists interactions of Chlorpheniramine with, for example, Belladonna and opium, Benzhydrocodone / acetaminophen, Brexanolone. The full list is on the Chlorpheniramine page.

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