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Drug interactions

Daridorexant + Remifentanil

Severity: Moderate

Daridorexant and Remifentanil: 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

Both drugs depress the central nervous system, and together they increase sedation and impair psychomotor performance. Residual effects may persist into the next day.

What this interaction means in plain words

Daridorexant and Remifentanil 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.

Daridorexant belongs to Central Nervous System; Remifentanil belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

Additive CNS depression from an opioid agonist and an orexin receptor antagonist.

What to do

Use the lowest effective doses and monitor sedation and respiratory status. Warn patients to avoid driving or hazardous activities if impaired.

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 Daridorexant with Remifentanil?

MediHelp rates the interaction as moderate. Daridorexant and Remifentanil 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. Both drugs depress the central nervous system, and together they increase sedation and impair psychomotor performance. Residual effects may persist into the next day.

How serious is the interaction between Daridorexant and Remifentanil?

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 sedation and respiratory status. Warn patients to avoid driving or hazardous activities if impaired.

What other medicines interact with Remifentanil?

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

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