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Interaction Check

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Selected Drugs Clear All

  • remove Avodart
    dutasteride
  • remove Koselugo
    selumetinib
  • remove Nulojix
    belatacept
  • remove Rectiv
    nitroglycerin intra-anal
  • remove Sinemet
    carbidopa/ levodopa
  • remove Virtussin DAC
    codeine/ pseudoephedrine/ guaifenesin

multicheck MultiCheck Results - 3 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Sinemet (carbidopa/ levodopa) + Virtussin DAC (codeine/ pseudoephedrine/ guaifenesin)

Avoid/Use Alternative


levodopa + codeine

avoid combo if antitussive use; otherwise, monitor BP, respiratory rate; decr. dose of one or both drugs, use lowest effective doses and shortest duration of concomitant tx: combo may incr. risk of profound CNS and respiratory depression, psychomotor impairment, severe hypotension, including orthostasis, syncope (additive effects)

Monitor/Modify Tx

Smiley face Smiley face Rectiv (nitroglycerin intra-anal) + Sinemet (carbidopa/ levodopa)

Monitor/Modify Tx


nitroglycerin + levodopa

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

Smiley face Smiley face Rectiv (nitroglycerin intra-anal) + Virtussin DAC (codeine/ pseudoephedrine/ guaifenesin)

Monitor/Modify Tx


nitroglycerin + codeine

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

Additional Considerations

Smiley face Smiley face levodopa in Sinemet

add MAO inhibitor to Interaction Check if recent (14 days) use

avoid combo with beverages or products containing ethanol and Crexont; combo may incr. levodopa release rate, levels, risk of adverse effects, decr. duration of efficacy

Smiley face Smiley face carbidopa in Sinemet

avoid combo with beverages or products containing ethanol and Crexont; combo may incr. carbidopa release rate, levels, risk of adverse effects, decr. duration of efficacy

Smiley face Smiley face nitroglycerin in Rectiv

if SL nitroglycerin tab use, caution advised with anticholinergic drugs, tricyclic antidepressants, other drugs that may cause xerostomia; combo may delay vasodilator onset, decr. nitroglycerin peak levels, efficacy; absorption decreased, xerostomia may alter dissolution of SL tab

Smiley face Smiley face selumetinib in Koselugo

avoid supplemental vitamin E if daily vitamin E intake greater than recommended or safe limits; combo may incr. risk of bleeding; additive effects, antiplatelet and anticoagulant effects augmented by vitamin E content in selumetinib capsules

Smiley face Smiley face codeine in Virtussin DAC

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

add MAO inhibitor to Interaction Check if recent (14 days) use

Smiley face Smiley face pseudoephedrine in Virtussin DAC

add MAO inhibitor to Interaction Check if recent (14 days) use

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