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Interazioni tra farmaci

Brompheniramine + Sufentanil

Gravità: Maggiore

Brompheniramine and Sufentanil: major interaction.

Ultimo aggiornamento Fonti: US FDA label

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Sintesi

Concurrent use of an opioid with a sedating antihistamine increases sedation and may add to respiratory depression. Impaired alertness and psychomotor performance are expected, and the risk rises in older or frail patients.

Cosa significa questa interazione in parole semplici

Brompheniramine and Sufentanil 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.

Brompheniramine belongs to Respiratory; Sufentanil belongs to Musculoskeletal.

Livello di evidenza: Moderate

Perché avviene

Additive CNS and respiratory depression through opioid receptor agonism and H1-antihistamine sedation.

Cosa fare

Monitor sedation level and respiratory rate, and use the lowest effective doses. Prefer a non-sedating antihistamine when feasible.

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 Brompheniramine with Sufentanil?

MediHelp rates the interaction as major. Brompheniramine and Sufentanil 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. Concurrent use of an opioid with a sedating antihistamine increases sedation and may add to respiratory depression. Impaired alertness and psychomotor performance are expected, and the risk rises in older or frail patients.

How serious is the interaction between Brompheniramine and Sufentanil?

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 level and respiratory rate, and use the lowest effective doses. Prefer a non-sedating antihistamine when feasible.

What other medicines interact with Brompheniramine?

MediHelp also lists interactions of Brompheniramine with, for example, Alfentanil, Belladonna and opium, Benzhydrocodone / acetaminophen. The full list is on the Brompheniramine page.

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