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Drug interactions

Calcium / magnesium / potassium / sodium oxybates + Oxycodone

Severity: Contraindicated

Calcium / magnesium / potassium / sodium oxybates and Oxycodone: contraindicated 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

Oxybates are potent CNS depressants, and combined with opioids they markedly increase the risk of profound sedation, respiratory depression, coma and death.

What this interaction means in plain words

Calcium / magnesium / potassium / sodium oxybates and Oxycodone are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Evidence level: High

Why it happens

Additive CNS and respiratory depression.

What to do

Avoid the combination, as oxybate labeling contraindicates or strongly restricts concurrent opioid use. If an opioid is unavoidable, consider interrupting oxybate or choosing an alternative.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Calcium / magnesium / potassium / sodium oxybates with Oxycodone?

MediHelp rates the interaction as contraindicated. Calcium / magnesium / potassium / sodium oxybates and Oxycodone are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Oxybates are potent CNS depressants, and combined with opioids they markedly increase the risk of profound sedation, respiratory depression, coma and death.

How serious is the interaction between Calcium / magnesium / potassium / sodium oxybates and Oxycodone?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination, as oxybate labeling contraindicates or strongly restricts concurrent opioid use. If an opioid is unavoidable, consider interrupting oxybate or choosing an alternative.

What other medicines interact with Oxycodone?

MediHelp also lists interactions of Oxycodone with, for example, Alvimopan, Isocarboxazid, Olanzapine / samidorphan. The full list is on the Oxycodone page.

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

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