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Drug interactions

Lemborexant + Oxycodone

Severity: Moderate

Lemborexant 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

Lemborexant is a sedative-hypnotic and adds to opioid CNS depression. This may cause additive somnolence and impaired next-day psychomotor performance.

What this interaction means in plain words

Lemborexant 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.

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

Evidence level: Moderate

Why it happens

Additive CNS depression from orexin receptor antagonism and opioid agonism.

What to do

Use the lowest effective doses and counsel about impaired driving and alertness. Reduce the dose of either drug if excessive sedation occurs.

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 Lemborexant with Oxycodone?

MediHelp rates the interaction as moderate. Lemborexant 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. Lemborexant is a sedative-hypnotic and adds to opioid CNS depression. This may cause additive somnolence and impaired next-day psychomotor performance.

How serious is the interaction between Lemborexant 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: Use the lowest effective doses and counsel about impaired driving and alertness. Reduce the dose of either drug if excessive sedation occurs.

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.

Full monographs, dosing and an interaction checker in the MediHelp app

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