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Drug interactions

Codeine + Deutetrabenazine

Severity: Moderate

Codeine and Deutetrabenazine: 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

Deutetrabenazine can cause somnolence and sedation, which may be additive with codeine. Deutetrabenazine is also partly metabolized via CYP2D6, but the main concern is combined drowsiness.

What this interaction means in plain words

Codeine and Deutetrabenazine 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.

Codeine belongs to Musculoskeletal; Deutetrabenazine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depression.

What to do

Monitor for excess sedation and counsel on driving and machinery. Lower the codeine dose if drowsiness is troublesome.

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 Codeine with Deutetrabenazine?

MediHelp rates the interaction as moderate. Codeine and Deutetrabenazine 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. Deutetrabenazine can cause somnolence and sedation, which may be additive with codeine. Deutetrabenazine is also partly metabolized via CYP2D6, but the main concern is combined drowsiness.

How serious is the interaction between Codeine and Deutetrabenazine?

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 for excess sedation and counsel on driving and machinery. Lower the codeine dose if drowsiness is troublesome.

What other medicines interact with Codeine?

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

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