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Drug interactions

Chloral hydrate + Orphenadrin

Severity: Moderate

Chloral hydrate and Orphenadrin: 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

Chloral hydrate is a sedative-hypnotic, and orphenadrine adds its own sedative and anticholinergic effects. The combination can cause excessive sedation, confusion and next-day impairment.

What this interaction means in plain words

Chloral hydrate and Orphenadrin 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.

Chloral hydrate belongs to Central Nervous System; Orphenadrin belongs to Musculoskeletal.

Evidence level: Low

Why it happens

Additive central nervous system depression.

What to do

Use the lowest effective doses and monitor the level of sedation, especially in older adults. Avoid other sedatives and alcohol at the same time.

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 Chloral hydrate with Orphenadrin?

MediHelp rates the interaction as moderate. Chloral hydrate and Orphenadrin 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. Chloral hydrate is a sedative-hypnotic, and orphenadrine adds its own sedative and anticholinergic effects. The combination can cause excessive sedation, confusion and next-day impairment.

How serious is the interaction between Chloral hydrate and Orphenadrin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective doses and monitor the level of sedation, especially in older adults. Avoid other sedatives and alcohol at the same time.

What other medicines interact with Orphenadrin?

MediHelp also lists interactions of Orphenadrin with, for example, Alfentanil, Amobarbital, Benzhydrocodone / acetaminophen. The full list is on the Orphenadrin page.

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

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