Interações medicamentosas
Benzhydrocodone / acetaminophen + Gabapentin
Gravidade: Grave
Benzhydrocodone / acetaminophen and Gabapentin: major interaction.
Última atualização Fontes: US FDA label
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Resumo
Opioids combined with gabapentinoids carry an increased risk of profound sedation, respiratory depression, coma and death. Regulators have issued warnings about this because gabapentin can potentiate opioid-induced respiratory depression.
O que esta interação significa em palavras simples
Benzhydrocodone / acetaminophen and Gabapentin 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.
Por que acontece
Additive CNS and respiratory depression, and gabapentin may also raise opioid effect.
O que fazer
Reserve the combination for patients with inadequate alternatives, using the lowest effective doses and shortest duration. Monitor for sedation and respiratory depression, especially in older patients and those with lung disease or renal impairment.
O que perguntar ao farmacêutico
- 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?
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Referências
Outras interações de Gabapentin
Perguntas frequentes
Can I take Benzhydrocodone / acetaminophen with Gabapentin?
MediHelp rates the interaction as major. Benzhydrocodone / acetaminophen and Gabapentin 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. Opioids combined with gabapentinoids carry an increased risk of profound sedation, respiratory depression, coma and death. Regulators have issued warnings about this because gabapentin can potentiate opioid-induced respiratory depression.
How serious is the interaction between Benzhydrocodone / acetaminophen and Gabapentin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reserve the combination for patients with inadequate alternatives, using the lowest effective doses and shortest duration. Monitor for sedation and respiratory depression, especially in older patients and those with lung disease or renal impairment.
What other medicines interact with Gabapentin?
MediHelp also lists interactions of Gabapentin with, for example, Alprazolam, Amobarbital, Belladonna and opium. The full list is on the Gabapentin page.
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