Interações medicamentosas
Brexpiprazole + Oliceridine
Gravidade: Grave
Brexpiprazole and Oliceridine: major interaction.
Última atualização Fontes: EMA SmPC
Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.
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Resumo
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.
O que esta interação significa em palavras simples
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.
Por que acontece
Additive CNS and respiratory depression from opioid agonism and antipsychotic sedative effects.
O que fazer
Use the lowest effective oliceridine dose and shortest duration, and monitor sedation, respiratory rate and oxygen saturation. Reduce doses if excessive sedation occurs.
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 Brexpiprazole
Outras interações de Oliceridine
- Isocarboxazid + Oliceridine Contraindicada
- Alprazolam + Oliceridine Grave
- Amiodarone + Oliceridine Grave
- Amisulpride + Oliceridine Grave
- Amitriptyline + Oliceridine Grave
- Amobarbital + Oliceridine Grave
Perguntas frequentes
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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