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Interazioni tra farmaci

Brexpiprazole + Oliceridine

Gravità: Maggiore

Brexpiprazole and Oliceridine: major interaction.

Ultimo aggiornamento Fonti: EMA SmPC

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Sintesi

Oliceridine is an intravenous opioid and brexpiprazole is a sedating antipsychotic, so together they can cause profound sedation, hypotension and respiratory depression. Opioid labeling warns of this with other CNS depressants.

Cosa significa questa interazione in parole semplici

Brexpiprazole and Oliceridine 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.

Brexpiprazole belongs to Central Nervous System; Oliceridine belongs to Musculoskeletal.

Livello di evidenza: Moderate

Perché avviene

Additive CNS and respiratory depression from opioid agonism and antipsychotic sedative effects.

Cosa fare

Use the lowest effective oliceridine dose and shortest duration, and monitor sedation, respiratory rate and oxygen saturation. Reduce doses if excessive sedation occurs.

Cosa chiedere al farmacista

  • 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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Riferimenti

Domande frequenti

Can I take Brexpiprazole with Oliceridine?

MediHelp rates the interaction as major. Brexpiprazole and Oliceridine 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. Oliceridine is an intravenous opioid and brexpiprazole is a sedating antipsychotic, so together they can cause profound sedation, hypotension and respiratory depression. Opioid labeling warns of this with other CNS depressants.

How serious is the interaction between Brexpiprazole and Oliceridine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective oliceridine dose and shortest duration, and monitor sedation, respiratory rate and oxygen saturation. Reduce doses if excessive sedation occurs.

What other medicines interact with Brexpiprazole?

MediHelp also lists interactions of Brexpiprazole with, for example, Alfentanil, Amisulpride, Apalutamide. The full list is on the Brexpiprazole page.

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