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Drug interactions

Oliceridine + Oxycodone

Severity: Major

Oliceridine and Oxycodone: 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

Both are opioid agonists, so using them together adds to sedation and respiratory depression. Profound sedation, coma and death are possible, especially with higher doses or in opioid-naive patients.

What this interaction means in plain words

Oliceridine and Oxycodone 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.

Oliceridine belongs to Musculoskeletal; Oxycodone belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

Additive mu-opioid receptor agonism causing pharmacodynamic CNS and respiratory depression.

What to do

Titrate oliceridine cautiously in patients on oxycodone, using the lowest effective doses and shortest duration. Monitor respiratory rate, oxygen saturation and sedation closely.

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 Oliceridine with Oxycodone?

MediHelp rates the interaction as major. Oliceridine and Oxycodone 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. Both are opioid agonists, so using them together adds to sedation and respiratory depression. Profound sedation, coma and death are possible, especially with higher doses or in opioid-naive patients.

How serious is the interaction between Oliceridine and Oxycodone?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Titrate oliceridine cautiously in patients on oxycodone, using the lowest effective doses and shortest duration. Monitor respiratory rate, oxygen saturation and sedation closely.

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.

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