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Interaction Check

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Selected Drugs Clear All

  • remove metoprolol succinate
    generic
  • remove pentazocine/ naloxone
    generic
  • remove Visine Red Eye Total Comfort Multi-Symptom
    tetrahydrozoline/ zinc sulfate/ polyethylene glycol 400 ophthalmic

multicheck MultiCheck Results - 2 Interactions

Smiley face Smiley face

Monitor/Modify Tx

Smiley face Smiley face metoprolol succinate (generic) + pentazocine/naloxone (generic)

Monitor/Modify Tx


metoprolol + pentazocine

monitor BP: combo may incr. risk of severe hypotension, including orthostasis, syncope (additive effects)

Smiley face Smiley face metoprolol succinate (generic) + Visine Red Eye Total Comfort Multi-Symptom (tetrahydrozoline/ zinc sulfate/ polyethylene glycol 400 ophthalmic)

Monitor/Modify Tx


metoprolol + tetrahydrozoline ophthalmic

consider monitoring BP: combo may decr. antihypertensive agent efficacy (antagonistic effects)

Additional Considerations

Smiley face Smiley face pentazocine in pentazocine/naloxone

consider prescribing an opioid overdose reversal agent, especially with concomitant CNS depressant use

Smiley face Smiley face naloxone (abuse deterrent) in pentazocine/naloxone

no pharmacologic activity when administered as directed

Smiley face Smiley face metoprolol in metoprolol succinate

avoid combo with beverages or products containing ethanol and metoprolol extended-release (ER) sprinkle; combo may incr. metoprolol release rate, levels, risk of adverse effects, decr. duration of efficacy

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