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Drug interactions

Oliceridine + Oxymorphone

Severity: Major

Oliceridine and Oxymorphone: 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

Two opioid agonists given together add to sedation, respiratory depression and overdose risk. Duplicate opioid therapy can cause profound sedation and death.

What this interaction means in plain words

Oliceridine and Oxymorphone 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; Oxymorphone belongs to Musculoskeletal.

Evidence level: High

Why it happens

Additive mu-opioid receptor agonism producing CNS and respiratory depression.

What to do

Avoid overlapping use unless necessary, limit dose and duration, and titrate oliceridine to effect with oxymorphone exposure taken into account. Monitor respiratory rate 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 Oxymorphone?

MediHelp rates the interaction as major. Oliceridine and Oxymorphone 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. Two opioid agonists given together add to sedation, respiratory depression and overdose risk. Duplicate opioid therapy can cause profound sedation and death.

How serious is the interaction between Oliceridine and Oxymorphone?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid overlapping use unless necessary, limit dose and duration, and titrate oliceridine to effect with oxymorphone exposure taken into account. Monitor respiratory rate and sedation closely.

What other medicines interact with Oxymorphone?

MediHelp also lists interactions of Oxymorphone with, for example, Alvimopan, Ethanol, Isocarboxazid. The full list is on the Oxymorphone page.

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