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Drug interactions

Metaxalone + Olopatadine intranasal

Severity: Moderate

Metaxalone and Olopatadine intranasal: 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

Olopatadine nasal spray can cause somnolence, and combining it with a sedating muscle relaxant increases CNS depression. This may worsen daytime impairment of psychomotor performance.

What this interaction means in plain words

Metaxalone and Olopatadine intranasal 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.

Evidence level: Moderate

Why it happens

Additive CNS depression from pharmacodynamic synergism.

What to do

Counsel patients to avoid driving and hazardous tasks, and consider a non-sedating alternative to the nasal antihistamine.

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 Metaxalone with Olopatadine intranasal?

MediHelp rates the interaction as moderate. Metaxalone and Olopatadine intranasal 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. Olopatadine nasal spray can cause somnolence, and combining it with a sedating muscle relaxant increases CNS depression. This may worsen daytime impairment of psychomotor performance.

How serious is the interaction between Metaxalone and Olopatadine intranasal?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Counsel patients to avoid driving and hazardous tasks, and consider a non-sedating alternative to the nasal antihistamine.

What other medicines interact with Metaxalone?

MediHelp also lists interactions of Metaxalone with, for example, Alfentanil, Belladonna and opium, Benzhydrocodone / acetaminophen. The full list is on the Metaxalone page.

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