Selected Drugs Clear All
MultiCheck Results
- 4
Interactions
Avoid/Use Alternative |
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Lorcet Plus
(hydrocodone/ acetaminophen) + Mucinex Fast-Max Kickstart Severe Cold & Flu All-in-One
(acetaminophen/ dextromethorphan/ phenylephrine/ guaifenesin) |
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Avoid/Use Alternativeacetaminophen + acetaminophen limit acetaminophen from all sources to standard max acetaminophen doses: combo may incr. acetaminophen levels, risk of hepatotoxicity, other adverse effects (additive effects, duplicate therapy) hydrocodone + dextromethorphan use alternative or monitor serotonin syndrome sx, especially during initiation/titration: combo may incr. risk of serotonin syndrome (additive effects) |
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Monitor/Modify Tx |
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ibandronate
(generic) + Pepto-Bismol LiquiCaps
(bismuth subsalicylate) |
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Monitor/Modify Txibandronate + bismuth subsalicylate monitor bleeding signs/symptoms if oral ibandronate use: combo may incr. risk of upper GI ulceration, perforation, bleeding (additive effects) |
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Mucinex Fast-Max Kickstart Severe Cold & Flu All-in-One
(acetaminophen/ dextromethorphan/ phenylephrine/ guaifenesin) + Pepto-Bismol LiquiCaps
(bismuth subsalicylate) |
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Monitor/Modify Txphenylephrine + bismuth subsalicylate monitor BP w/ high-dose bismuth subsalicylate: combo may incr. risk of HTN (additive effects) |
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Additional Considerations |
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phenylephrine
in Mucinex Fast-Max Kickstart Severe Cold & Flu All-in-One
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add MAO inhibitor to Interaction Check if recent (14 days) use |
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dextromethorphan
in Mucinex Fast-Max Kickstart Severe Cold & Flu All-in-One
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add MAO inhibitor to Interaction Check if recent (14 days) use |
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hydrocodone
in Lorcet Plus
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consider prescribing an opioid overdose reversal agent, especially with concomitant CNS depressant use benzhydrocodone (prodrug) rapidly converted to hydrocodone; similar interactions anticipated add MAO inhibitor to Interaction Check if recent (14 days) use avoid combo with beverages or products containing ethanol and some hydrocodone extended-release (ER) capsules; combo may incr. hydrocodone release rate, levels, risk of adverse effects, including life-threatening overdose, decr. duration of efficacy |
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ibandronate
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administer oral ibandronate at least 1h before other oral drugs; combo may decr. ibandronate absorption, efficacy |
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