Drug interactions
Eluxadoline + Meperidine
Severity: Major
Eluxadoline and Meperidine: major 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
Eluxadoline is a mu-opioid receptor agonist used for diarrhea-predominant IBS, and opioids such as meperidine slow gut transit. Together they raise the risk of severe constipation and related complications such as ileus or pancreatitis-related events.
What this interaction means in plain words
Eluxadoline and Meperidine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Eluxadoline belongs to Gastrointestinal Tract; Meperidine belongs to Musculoskeletal.
Why it happens
Additive opioid receptor-mediated reduction of gastrointestinal motility.
What to do
Avoid concomitant use; if an opioid is needed, stop eluxadoline and monitor bowel function closely.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Meperidine
- Alvimopan + Meperidine Contraindicated
- Isocarboxazid + Meperidine Contraindicated
- Meperidine + Methylene blue Contraindicated
- Meperidine + Olanzapine / samidorphan Contraindicated
- Meperidine + Phenelzine Contraindicated
- Meperidine + Procarbazine Contraindicated
Other interactions of Eluxadoline
Frequently asked questions
Can I take Eluxadoline with Meperidine?
MediHelp rates the interaction as major. Eluxadoline and Meperidine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Eluxadoline is a mu-opioid receptor agonist used for diarrhea-predominant IBS, and opioids such as meperidine slow gut transit. Together they raise the risk of severe constipation and related complications such as ileus or pancreatitis-related events.
How serious is the interaction between Eluxadoline and Meperidine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concomitant use; if an opioid is needed, stop eluxadoline and monitor bowel function closely.
What other medicines interact with Meperidine?
MediHelp also lists interactions of Meperidine with, for example, Alvimopan, Isocarboxazid, Methylene blue. The full list is on the Meperidine page.
Full monographs, dosing and an interaction checker in the MediHelp app
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