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Drug interactions

Quetiapine + Sufentanil sl

Severity: Major

Quetiapine and Sufentanil sl: 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

Opioids combined with quetiapine produce additive sedation, hypotension and respiratory depression. Severe cases may lead to coma or death.

What this interaction means in plain words

Quetiapine and Sufentanil sl 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.

Evidence level: High

Why it happens

Additive CNS and respiratory depression, with additive hypotension.

What to do

Reserve combination for patients without alternatives, use the lowest doses for the shortest time, and monitor sedation, respiration and blood pressure.

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 Quetiapine with Sufentanil sl?

MediHelp rates the interaction as major. Quetiapine and Sufentanil sl 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. Opioids combined with quetiapine produce additive sedation, hypotension and respiratory depression. Severe cases may lead to coma or death.

How serious is the interaction between Quetiapine and Sufentanil sl?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reserve combination for patients without alternatives, use the lowest doses for the shortest time, and monitor sedation, respiration and blood pressure.

What other medicines interact with Quetiapine?

MediHelp also lists interactions of Quetiapine with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Quetiapine page.

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

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