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Drug interactions

Oliceridine + Vilazodone

Severity: Moderate

Oliceridine and Vilazodone: 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

Oliceridine is an opioid and serotonin syndrome has been reported with opioids combined with serotonergic antidepressants. Vilazodone raises serotonin activity, so the combination may increase risk of agitation, tremor, hyperthermia and autonomic instability. Opioid-related sedation can also be additive.

What this interaction means in plain words

Oliceridine and Vilazodone 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.

Oliceridine belongs to Musculoskeletal; Vilazodone belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive serotonergic effects, plus additive CNS depression.

What to do

Monitor for signs of serotonin syndrome, especially at initiation and after dose increases. Stop the serotonergic agents and provide supportive care if it occurs.

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 Oliceridine with Vilazodone?

MediHelp rates the interaction as moderate. Oliceridine and Vilazodone 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. Oliceridine is an opioid and serotonin syndrome has been reported with opioids combined with serotonergic antidepressants. Vilazodone raises serotonin activity, so the combination may increase risk of agitation, tremor, hyperthermia and autonomic instability. Opioid-related sedation can also be additive.

How serious is the interaction between Oliceridine and Vilazodone?

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 signs of serotonin syndrome, especially at initiation and after dose increases. Stop the serotonergic agents and provide supportive care if it occurs.

What other medicines interact with Vilazodone?

MediHelp also lists interactions of Vilazodone with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Vilazodone page.

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

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