Interações medicamentosas
Buprenorphine long-acting + Gabapentin
Gravidade: Grave
Buprenorphine long-acting and Gabapentin: major interaction.
Última atualização Fontes: US FDA label
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.
O conteúdo clínico desta página está disponível apenas em inglês.
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
Buprenorphine long-acting 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.
O que fazer
Reserve the combination for patients with inadequate alternatives, using the lowest effective doses. Monitor for sedation and respiratory depression, particularly in those with lung disease, renal impairment or older age.
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?
Para assinantes do Pro+
Desbloqueie a página completa
Crie uma conta e comece um teste do Pro+ para desbloquear a orientação completa de conduta para Buprenorphine long-acting e Gabapentin, as notas adicionais, os detalhes da evidência e o verificador de interações para uma prescrição completa.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Experimente o Pro+ grátis por 7 dias na web. Sem cartão.
Referências
Outras interações de Gabapentin
Perguntas frequentes
Can I take Buprenorphine long-acting with Gabapentin?
MediHelp rates the interaction as major. Buprenorphine long-acting 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 Buprenorphine long-acting 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. Monitor for sedation and respiratory depression, particularly in those with lung disease, renal impairment or older age.
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.
Monografias completas, posologia e verificador de interações no app MediHelp
Abra a referência completa, verifique interações entre vários medicamentos e use as ferramentas de posologia no app MediHelp.
