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Drug interactions

Orphenadrine + Oxymorphone

Severity: Moderate

Orphenadrine and Oxymorphone: 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

Orphenadrine is an anticholinergic muscle relaxant that causes drowsiness and dizziness, and it adds to opioid sedation and impaired psychomotor performance. Anticholinergic effects such as constipation and urinary retention may also be worsened.

What this interaction means in plain words

Orphenadrine and Oxymorphone 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.

Evidence level: Moderate

Why it happens

Additive CNS depression and additive anticholinergic effects with opioid-induced gut and bladder slowing.

What to do

Monitor for oversedation, confusion, constipation and urinary retention, and use the lowest effective doses. Avoid in elderly patients where possible.

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 Orphenadrine with Oxymorphone?

MediHelp rates the interaction as moderate. Orphenadrine and Oxymorphone 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. Orphenadrine is an anticholinergic muscle relaxant that causes drowsiness and dizziness, and it adds to opioid sedation and impaired psychomotor performance. Anticholinergic effects such as constipation and urinary retention may also be worsened.

How serious is the interaction between Orphenadrine and Oxymorphone?

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 oversedation, confusion, constipation and urinary retention, and use the lowest effective doses. Avoid in elderly patients where possible.

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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