Drug interactions
Metronidazole + Oliceridine
Severity: Moderate
Metronidazole and Oliceridine: 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
Metronidazole may increase oliceridine exposure through CYP3A4 inhibition, raising the risk of respiratory depression and sedation.
What this interaction means in plain words
Metronidazole and Oliceridine 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.
Metronidazole belongs to Anti Parasitic; Oliceridine belongs to Musculoskeletal.
Why it happens
CYP3A4 inhibition by metronidazole reduces oliceridine metabolism.
What to do
Monitor for respiratory depression and sedation and titrate oliceridine doses carefully. Reassess opioid dose if metronidazole is discontinued because of withdrawal or reduced analgesia.
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 Metronidazole
- Ethanol + Metronidazole Contraindicated
- Metronidazole + Pimozide Contraindicated
- Amiodarone + Metronidazole Major
- Disulfiram + Metronidazole Major
- Ergotamine + Metronidazole Major
- Lomitapide + Metronidazole Major
Other interactions of Oliceridine
- Isocarboxazid + Oliceridine Contraindicated
- Alprazolam + Oliceridine Major
- Amiodarone + Oliceridine Major
- Amisulpride + Oliceridine Major
- Amitriptyline + Oliceridine Major
- Amobarbital + Oliceridine Major
Frequently asked questions
Can I take Metronidazole with Oliceridine?
MediHelp rates the interaction as moderate. Metronidazole and Oliceridine 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. Metronidazole may increase oliceridine exposure through CYP3A4 inhibition, raising the risk of respiratory depression and sedation.
How serious is the interaction between Metronidazole and Oliceridine?
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 respiratory depression and sedation and titrate oliceridine doses carefully. Reassess opioid dose if metronidazole is discontinued because of withdrawal or reduced analgesia.
What other medicines interact with Metronidazole?
MediHelp also lists interactions of Metronidazole with, for example, Ethanol, Pimozide, Amiodarone. The full list is on the Metronidazole page.
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