Drug interactions
Eliglustat + Morphine
Severity: Moderate
Eliglustat and Morphine: 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
Eliglustat inhibits P-glycoprotein and may increase systemic exposure to morphine, a P-gp substrate. This could intensify opioid effects such as sedation and respiratory depression.
What this interaction means in plain words
Eliglustat and Morphine 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.
Eliglustat belongs to Miscellaneous; Morphine belongs to Musculoskeletal.
Why it happens
Inhibition of P-glycoprotein efflux increases morphine absorption and central exposure.
What to do
Monitor for increased opioid effects when starting eliglustat and titrate morphine to response. Reduce morphine dose if sedation or respiratory depression develops.
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?
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Other interactions of Morphine
- Alvimopan + Morphine Contraindicated
- Isocarboxazid + Morphine Contraindicated
- Morphine + Olanzapine / samidorphan Contraindicated
- Morphine + Phenelzine Contraindicated
- Morphine + Tranylcypromine Contraindicated
- Alfentanil + Morphine Major
Other interactions of Eliglustat
- Amiodarone + Eliglustat Contraindicated
- Clarithromycin + Eliglustat Contraindicated
- Dronedarone + Eliglustat Contraindicated
- Eliglustat + Itraconazole Contraindicated
- Eliglustat + Ketoconazole Contraindicated
- Eliglustat + Pimozide Contraindicated
Frequently asked questions
Can I take Eliglustat with Morphine?
MediHelp rates the interaction as moderate. Eliglustat and Morphine 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. Eliglustat inhibits P-glycoprotein and may increase systemic exposure to morphine, a P-gp substrate. This could intensify opioid effects such as sedation and respiratory depression.
How serious is the interaction between Eliglustat and Morphine?
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 increased opioid effects when starting eliglustat and titrate morphine to response. Reduce morphine dose if sedation or respiratory depression develops.
What other medicines interact with Morphine?
MediHelp also lists interactions of Morphine with, for example, Alvimopan, Isocarboxazid, Olanzapine / samidorphan. The full list is on the Morphine page.
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