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Interactions médicamenteuses

Buprenorphine long-acting + Esketamine

Gravité: Majeure

Buprenorphine long-acting and Esketamine: major interaction.

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Résumé

Esketamine and opioids can each cause sedation and dissociation, and together they may increase CNS and respiratory depression. Long-acting buprenorphine provides continuous exposure, so effects can overlap with each esketamine session.

Ce que signifie cette interaction, en termes simples

Buprenorphine long-acting and Esketamine 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.

Niveau de preuve: Moderate

Pourquoi elle survient

Additive CNS and respiratory depression.

Conduite à tenir

Monitor sedation, oxygen saturation, and breathing throughout the post-dose observation period. Use only when alternatives are inadequate.

Questions à poser à votre pharmacien

  • 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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Questions fréquentes

Can I take Buprenorphine long-acting with Esketamine?

MediHelp rates the interaction as major. Buprenorphine long-acting and Esketamine 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. Esketamine and opioids can each cause sedation and dissociation, and together they may increase CNS and respiratory depression. Long-acting buprenorphine provides continuous exposure, so effects can overlap with each esketamine session.

How serious is the interaction between Buprenorphine long-acting and Esketamine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor sedation, oxygen saturation, and breathing throughout the post-dose observation period. Use only when alternatives are inadequate.

What other medicines interact with Esketamine?

MediHelp also lists interactions of Esketamine with, for example, Alfentanil, Amobarbital, Belladonna and opium. The full list is on the Esketamine page.

Monographies complètes, posologies et vérificateur d'interactions dans l'application MediHelp

Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.

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