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Drug interactions

Sufentanil sl + Venlafaxine

Severity: Moderate

Sufentanil sl and Venlafaxine: 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

Opioids such as sufentanil have weak serotonergic activity and combined with venlafaxine may rarely cause serotonin syndrome. Venlafaxine and opioids may also add to CNS effects.

What this interaction means in plain words

Sufentanil sl and Venlafaxine 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: Low

Why it happens

Additive serotonergic activity.

What to do

Observe for agitation, clonus, hyperthermia and autonomic instability, particularly at initiation and dose changes. Stop the serotonergic agents if serotonin syndrome is suspected.

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 Sufentanil sl with Venlafaxine?

MediHelp rates the interaction as moderate. Sufentanil sl and Venlafaxine 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. Opioids such as sufentanil have weak serotonergic activity and combined with venlafaxine may rarely cause serotonin syndrome. Venlafaxine and opioids may also add to CNS effects.

How serious is the interaction between Sufentanil sl and Venlafaxine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Observe for agitation, clonus, hyperthermia and autonomic instability, particularly at initiation and dose changes. Stop the serotonergic agents if serotonin syndrome is suspected.

What other medicines interact with Venlafaxine?

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

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