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Drug interactions

Linezolid + Sufentanil sl

Severity: Major

Linezolid and Sufentanil sl: 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

Sublingual sufentanil with an MAO inhibitor may cause serotonin syndrome or opioid toxicity such as respiratory depression and hypotension. Linezolid has weak MAO-inhibiting activity.

What this interaction means in plain words

Linezolid and Sufentanil sl 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.

Evidence level: Low

Why it happens

Possible serotonergic potentiation and enhanced opioid CNS depression with MAO inhibition.

What to do

Use a non-opioid or alternative analgesic where possible. If sufentanil is required, give carefully titrated low doses and monitor respiration, blood pressure and mental status.

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?

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 Linezolid with Sufentanil sl?

MediHelp rates the interaction as major. Linezolid and Sufentanil sl 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. Sublingual sufentanil with an MAO inhibitor may cause serotonin syndrome or opioid toxicity such as respiratory depression and hypotension. Linezolid has weak MAO-inhibiting activity.

How serious is the interaction between Linezolid and Sufentanil sl?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use a non-opioid or alternative analgesic where possible. If sufentanil is required, give carefully titrated low doses and monitor respiration, blood pressure and mental status.

What other medicines interact with Linezolid?

MediHelp also lists interactions of Linezolid with, for example, Amoxapine, Atomoxetine, Benzphetamine. The full list is on the Linezolid page.

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