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Drug interactions

Deutetrabenazine + Hydromorphone

Severity: Moderate

Deutetrabenazine and Hydromorphone: 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 add to opioid-induced CNS depression. This may impair alertness and psychomotor function.

What this interaction means in plain words

Deutetrabenazine and Hydromorphone 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 belongs to Central Nervous System; Hydromorphone belongs to Musculoskeletal.

Evidence level: Low

Why it happens

Additive CNS depression; deutetrabenazine depletes monoamines via VMAT2 inhibition.

What to do

Monitor sedation and reduce the dose of either drug if drowsiness is excessive. Advise patients to avoid driving until the response is known.

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 Deutetrabenazine with Hydromorphone?

MediHelp rates the interaction as moderate. Deutetrabenazine and Hydromorphone 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 add to opioid-induced CNS depression. This may impair alertness and psychomotor function.

How serious is the interaction between Deutetrabenazine and Hydromorphone?

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 sedation and reduce the dose of either drug if drowsiness is excessive. Advise patients to avoid driving until the response is known.

What other medicines interact with Hydromorphone?

MediHelp also lists interactions of Hydromorphone with, for example, Alvimopan, Bupropion-naltrexone, Isocarboxazid. The full list is on the Hydromorphone page.

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