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Interazioni tra farmaci

Butorphanol + Olanzapine / samidorphan

Gravità: Controindicata

Butorphanol and Olanzapine / samidorphan: contraindicated interaction.

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Sintesi

Samidorphan is an opioid antagonist that blocks butorphanol's analgesic effect. In opioid-dependent patients it may precipitate acute withdrawal.

Cosa significa questa interazione in parole semplici

Butorphanol and Olanzapine / samidorphan are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Livello di evidenza: High

Perché avviene

Samidorphan antagonizes opioid receptors, opposing the effect of butorphanol.

Cosa fare

Avoid the combination; follow the labeled opioid-free interval (7 days for short-acting, 14 days for long-acting opioids) before starting. Use non-opioid analgesics during treatment.

Cosa chiedere al farmacista

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Domande frequenti

Can I take Butorphanol with Olanzapine / samidorphan?

MediHelp rates the interaction as contraindicated. Butorphanol and Olanzapine / samidorphan are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Samidorphan is an opioid antagonist that blocks butorphanol's analgesic effect. In opioid-dependent patients it may precipitate acute withdrawal.

How serious is the interaction between Butorphanol and Olanzapine / samidorphan?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination; follow the labeled opioid-free interval (7 days for short-acting, 14 days for long-acting opioids) before starting. Use non-opioid analgesics during treatment.

What other medicines interact with Butorphanol?

MediHelp also lists interactions of Butorphanol with, for example, Sodium oxybate, Alfentanil, Alprazolam. The full list is on the Butorphanol page.

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