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Interações medicamentosas

Butorphanol + Zuranolone

Gravidade: Grave

Butorphanol and Zuranolone: major interaction.

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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

Zuranolone is a neuroactive steroid GABA-A modulator that causes somnolence and impaired driving ability. Taken with butorphanol, CNS depression and psychomotor impairment may be greater.

O que esta interação significa em palavras simples

Butorphanol and Zuranolone 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.

Butorphanol belongs to Musculoskeletal; Zuranolone belongs to Central Nervous System.

Nível de evidência: Moderate

Por que acontece

Additive pharmacodynamic CNS depression via GABA-A modulation and opioid receptor agonism.

O que fazer

Avoid if possible; if both are needed, consider lowering the dose of zuranolone or butorphanol. Monitor sedation and respiratory function and counsel against driving.

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?

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

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Perguntas frequentes

Can I take Butorphanol with Zuranolone?

MediHelp rates the interaction as major. Butorphanol and Zuranolone 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. Zuranolone is a neuroactive steroid GABA-A modulator that causes somnolence and impaired driving ability. Taken with butorphanol, CNS depression and psychomotor impairment may be greater.

How serious is the interaction between Butorphanol and Zuranolone?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid if possible; if both are needed, consider lowering the dose of zuranolone or butorphanol. Monitor sedation and respiratory function and counsel against driving.

What other medicines interact with Butorphanol?

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

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