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Interazioni tra farmaci

Hydromorphone + Olanzapine / samidorphan

Gravità: Controindicata

Hydromorphone and Olanzapine / samidorphan: contraindicated interaction.

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Sintesi

Samidorphan is an opioid antagonist that blocks hydromorphone's effect and can precipitate acute withdrawal in opioid-dependent patients. Pain control may be lost.

Cosa significa questa interazione in parole semplici

Hydromorphone 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

Pharmacodynamic antagonism at opioid receptors by samidorphan.

Cosa fare

Do not start in patients using opioids; ensure an opioid-free interval of at least 7 days for short-acting opioids before starting. Choose another antipsychotic if opioid therapy is needed.

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 Hydromorphone with Olanzapine / samidorphan?

MediHelp rates the interaction as contraindicated. Hydromorphone 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 hydromorphone's effect and can precipitate acute withdrawal in opioid-dependent patients. Pain control may be lost.

How serious is the interaction between Hydromorphone 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: Do not start in patients using opioids; ensure an opioid-free interval of at least 7 days for short-acting opioids before starting. Choose another antipsychotic if opioid therapy is needed.

What other medicines interact with Hydromorphone?

MediHelp also lists interactions of Hydromorphone with, for example, Alvimopan, Bupropion-naltrexone, Isocarboxazid. The full list is on the Hydromorphone page.

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