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Drug interactions

Morphine + Tipranavir

Severity: Minor

Morphine and Tipranavir: minor 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

Morphine is mainly glucuronidated rather than metabolized by CYP2D6, so CYP-mediated interaction is unlikely. Tipranavir given with ritonavir may affect P-glycoprotein and glucuronidation, so morphine effect could change unpredictably.

What this interaction means in plain words

Morphine and Tipranavir have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Morphine belongs to Musculoskeletal; Tipranavir belongs to Anti Virals.

Evidence level: Low

Why it happens

Possible modulation of P-glycoprotein and UGT activity by tipranavir/ritonavir; not well established.

What to do

Monitor analgesic response and signs of opioid toxicity or withdrawal, adjusting the morphine dose to effect.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Morphine with Tipranavir?

MediHelp rates the interaction as minor. Morphine and Tipranavir have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Morphine is mainly glucuronidated rather than metabolized by CYP2D6, so CYP-mediated interaction is unlikely. Tipranavir given with ritonavir may affect P-glycoprotein and glucuronidation, so morphine effect could change unpredictably.

How serious is the interaction between Morphine and Tipranavir?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor analgesic response and signs of opioid toxicity or withdrawal, adjusting the morphine dose to effect.

What other medicines interact with Morphine?

MediHelp also lists interactions of Morphine with, for example, Alvimopan, Isocarboxazid, Olanzapine / samidorphan. The full list is on the Morphine page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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