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Analgesics, Opioid: Interactions

 
Medical Encyclopedia: Analgesics, Opioid: Interactions
More about Analgesics, Opioid:
Definition
Purpose
Recommended dosage
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Side effects
Interactions

Anyone taking these drugs should notify his or her physician before taking opioid analgesics:

  • Central nervous system (CNS) depressants, such as anti-histamines and other medicines for allergies, hay fever, or colds; tranquilizers; some other prescription pain relievers; seizure medicines; muscle relaxants; sleeping pills; some anesthetics (including dental anesthetics).
  • Monoamine oxidase (MAO) inhibitors, such as phenelzine (Nardil) and tranylcypromine (Parnate). The combination of the opioid analgesic meperidine (Demerol) and MAO inhibitors is especially dangerous.
  • Tricyclic antidepressants, such as amitriptyline (Elavil).
  • Anti-seizure medicines, such as carbamazepine (Tegretol). May lead to serious side effects, including coma, when combined with propoxyphene and acetaminophen (Darvocet-N) or propoxyphene (Darvon).
  • Muscle relaxants, such as cyclobenzaprine (Flexeril).
  • Sleeping pills, such as triazolam (Halcion).
  • Blood-thinning drugs, such as warfarin (Coumadin).
  • Naltrexone (Trexan, Revia). Cancels the effects of opioid analgesics.
  • Rifampin (Rifadin).
  • Zidovudine (AZT, Retrovir). Serious side effects when combined with morphine.

[Article by: Nancy Ross-Flanigan]

— Nancy Ross-Flanigan



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