Skip to content

Drug interactions

Buprenorphine subdermal implant + Triprolidine

Severity: Major

Buprenorphine subdermal implant and Triprolidine: 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

Buprenorphine is an opioid, and combining it with a sedating antihistamine increases the risk of drowsiness, respiratory depression and impaired coordination. The risk is greater in older, frail or respiratory-compromised patients.

What this interaction means in plain words

Buprenorphine subdermal implant and Triprolidine 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.

Evidence level: Moderate

Why it happens

Additive CNS and respiratory depression from mu-opioid agonism and H1 antihistamine sedation.

What to do

Avoid if possible and choose a non-sedating antihistamine. If used together, monitor sedation and respiratory rate.

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.

Pro+ members

Unlock the full page

Create an account and start a Pro+ trial to unlock the full management advice for Buprenorphine subdermal implant and Triprolidine, the additional notes, the evidence detail and the whole-prescription interaction checker.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Try Pro+ free for 14 days on the web. No card needed.

Frequently asked questions

Can I take Buprenorphine subdermal implant with Triprolidine?

MediHelp rates the interaction as major. Buprenorphine subdermal implant and Triprolidine 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. Buprenorphine is an opioid, and combining it with a sedating antihistamine increases the risk of drowsiness, respiratory depression and impaired coordination. The risk is greater in older, frail or respiratory-compromised patients.

How serious is the interaction between Buprenorphine subdermal implant and Triprolidine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid if possible and choose a non-sedating antihistamine. If used together, monitor sedation and respiratory rate.

What other medicines interact with Triprolidine?

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

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

Browse A–Z · Drug interactions

Get the app Sign in