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Interações medicamentosas

Methadone + Sodium oxybate

Gravidade: Contraindicada

Methadone and Sodium oxybate: 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.

O conteúdo clínico desta página está disponível apenas em inglês.

Resumo

Both drugs depress the central nervous system, and together they can cause profound sedation, respiratory depression, coma and death. Sodium oxybate labeling warns against use with other CNS depressants.

O que esta interação significa em palavras simples

Methadone and Sodium oxybate 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.

Methadone belongs to Musculoskeletal; Sodium oxybate belongs to Central Nervous System.

Nível de evidência: High

Por que acontece

Additive CNS and respiratory depression through pharmacodynamic synergism.

O que fazer

Avoid the combination; use alternative therapy for one of the drugs. If it is unavoidable, use the lowest doses for the shortest time and monitor closely for sedation and respiratory depression.

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 Methadone with Sodium oxybate?

MediHelp rates the interaction as contraindicated. Methadone and Sodium oxybate 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. Both drugs depress the central nervous system, and together they can cause profound sedation, respiratory depression, coma and death. Sodium oxybate labeling warns against use with other CNS depressants.

How serious is the interaction between Methadone and Sodium oxybate?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination; use alternative therapy for one of the drugs. If it is unavoidable, use the lowest doses for the shortest time and monitor closely for sedation and respiratory depression.

What other medicines interact with Methadone?

MediHelp also lists interactions of Methadone with, for example, Alvimopan, Calcium / magnesium / potassium / sodium oxybates, Droperidol. The full list is on the Methadone page.

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