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Interações medicamentosas

Morphine + Olanzapine / samidorphan

Gravidade: Contraindicada

Morphine 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 is an opioid antagonist that blocks morphine's effect and can precipitate acute withdrawal in opioid-dependent patients. Patients on opioids who start the combination may also have reduced analgesia.

O que esta interação significa em palavras simples

Morphine 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

Pharmacodynamic antagonism at opioid receptors by samidorphan.

O que fazer

Do not start in patients using opioids; ensure an opioid-free interval of at least 7 days for short-acting opioids before starting. Use an alternative antipsychotic if opioids are required.

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 Morphine with Olanzapine / samidorphan?

MediHelp rates the interaction as contraindicated. Morphine 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 is an opioid antagonist that blocks morphine's effect and can precipitate acute withdrawal in opioid-dependent patients. Patients on opioids who start the combination may also have reduced analgesia.

How serious is the interaction between Morphine 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: Do not start in patients using opioids; ensure an opioid-free interval of at least 7 days for short-acting opioids before starting. Use an alternative antipsychotic if opioids are required.

What other medicines interact with Morphine?

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

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