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Drug interactions

Dosulepin + Oxycodone

Severity: Moderate

Dosulepin and Oxycodone: 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

Dosulepin is a sedating tricyclic antidepressant, and combined use with oxycodone increases drowsiness and may deepen respiratory depression. Additive serotonergic and anticholinergic effects such as constipation and urinary retention are also possible.

What this interaction means in plain words

Dosulepin and Oxycodone 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.

Dosulepin belongs to Central Nervous System; Oxycodone belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

Additive CNS depression and anticholinergic effects; tricyclic serotonergic activity may add to opioid serotonergic effects.

What to do

Start with low doses and monitor for sedation, respiratory depression and signs of serotonin toxicity. Counsel on driving and alcohol avoidance.

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 Dosulepin with Oxycodone?

MediHelp rates the interaction as moderate. Dosulepin and Oxycodone 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. Dosulepin is a sedating tricyclic antidepressant, and combined use with oxycodone increases drowsiness and may deepen respiratory depression. Additive serotonergic and anticholinergic effects such as constipation and urinary retention are also possible.

How serious is the interaction between Dosulepin and Oxycodone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Start with low doses and monitor for sedation, respiratory depression and signs of serotonin toxicity. Counsel on driving and alcohol avoidance.

What other medicines interact with Oxycodone?

MediHelp also lists interactions of Oxycodone with, for example, Alvimopan, Calcium / magnesium / potassium / sodium oxybates, Isocarboxazid. The full list is on the Oxycodone page.

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