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Interações medicamentosas

Codeine + Olanzapine / samidorphan

Gravidade: Contraindicada

Codeine and Olanzapine / samidorphan: contraindicated 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.

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Resumo

Samidorphan blocks opioid receptors, reducing codeine analgesia and potentially precipitating withdrawal in dependent patients. Higher opioid doses to override the blockade risk overdose.

O que esta interação significa em palavras simples

Codeine 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.

Nível de evidência: High

Por que acontece

Samidorphan is a mu-opioid receptor antagonist that opposes the effects of opioid agonists.

O que fazer

Allow an opioid-free interval of at least 7 days before starting olanzapine/samidorphan. Choose a different antipsychotic if opioids are needed.

O que perguntar ao farmacêutico

  • 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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Perguntas frequentes

Can I take Codeine with Olanzapine / samidorphan?

MediHelp rates the interaction as contraindicated. Codeine 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 blocks opioid receptors, reducing codeine analgesia and potentially precipitating withdrawal in dependent patients. Higher opioid doses to override the blockade risk overdose.

How serious is the interaction between Codeine 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: Allow an opioid-free interval of at least 7 days before starting olanzapine/samidorphan. Choose a different antipsychotic if opioids are needed.

What other medicines interact with Codeine?

MediHelp also lists interactions of Codeine with, for example, Alvimopan, Isocarboxazid, Phenelzine. The full list is on the Codeine page.

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