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Drug interactions

Oxymorphone + Ozanimod

Severity: Moderate

Oxymorphone and Ozanimod: 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

Ozanimod's active metabolite inhibits MAO-B in vitro, so there is a theoretical risk of serotonergic or adrenergic reactions with opioids. Oxymorphone has little serotonergic activity, so the actual risk is likely low.

What this interaction means in plain words

Oxymorphone and Ozanimod 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.

Oxymorphone belongs to Musculoskeletal; Ozanimod belongs to Central Nervous System.

Evidence level: Low

Why it happens

Possible MAO-B inhibition by an ozanimod metabolite; clinical significance with oxymorphone is uncertain.

What to do

Monitor blood pressure and for signs of serotonin toxicity or agitation. Consider alternatives if symptoms appear.

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 Oxymorphone with Ozanimod?

MediHelp rates the interaction as moderate. Oxymorphone and Ozanimod 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. Ozanimod's active metabolite inhibits MAO-B in vitro, so there is a theoretical risk of serotonergic or adrenergic reactions with opioids. Oxymorphone has little serotonergic activity, so the actual risk is likely low.

How serious is the interaction between Oxymorphone and Ozanimod?

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 blood pressure and for signs of serotonin toxicity or agitation. Consider alternatives if symptoms appear.

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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