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Interaction Check

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Selected Drugs Clear All

  • remove Acuvail
    ketorolac ophthalmic
  • remove Apidra
    insulin glulisine
  • remove Junel 1.5/ 30
    norethindrone/ ethinyl estradiol
  • remove ketoprofen
    generic
  • remove Morphabond ER
    morphine sulfate
  • remove prochlorperazine edisylate
    generic
  • remove RectiCare Advanced Cream
    lidocaine/ phenylephrine/ mineral oil/ petrolatum topical
  • remove tobramycin/ dexamethasone ophthalmic
    generic
  • remove Xopenex HFA
    levalbuterol inhaled
  • remove Zostavax
    zoster vaccine, live (ZVL)

multicheck MultiCheck Results - 10 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Morphabond ER (morphine sulfate) + prochlorperazine edisylate (generic)

Avoid/Use Alternative


morphine + prochlorperazine

consider alternative or monitor respiratory rate, BP, 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), severe constipation/paralytic ileus, other anticholinergic adverse effects (additive effects)

Monitor/Modify Tx

Smiley face Smiley face Acuvail (ketorolac ophthalmic) + ketoprofen (generic)

Monitor/Modify Tx


ketorolac ophthalmic + ketoprofen

monitor bleeding s/sx: combo may incr. risk of postop ocular bleeding (additive effects)

Smiley face Smiley face Apidra (insulin glulisine) + Junel 1.5/30 (norethindrone/ ethinyl estradiol)

Monitor/Modify Tx


insulin + ethinyl estradiol (contraceptive)

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

insulin + norethindrone (contraceptive)

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

Smiley face Smiley face Apidra (insulin glulisine) + Xopenex HFA (levalbuterol inhaled)

Monitor/Modify Tx


insulin + levalbuterol inhaled

monitor potassium: combo may incr. risk of hypokalemia (additive effects)

Smiley face Smiley face Junel 1.5/30 (norethindrone/ ethinyl estradiol) + ketoprofen (generic)

Monitor/Modify Tx


ethinyl estradiol (contraceptive) + ketoprofen

monitor BP, thrombosis s/sx; use lowest effective ketoprofen dose, shortest effective tx duration: combo may incr. risk of HTN, thromboembolism (additive effects)

norethindrone (contraceptive) + ketoprofen

monitor thrombosis s/sx, especially w/ concomitant estrogen use; use lowest effective ketoprofen dose, shortest effective tx duration: combo may incr. risk of thromboembolism (additive effects)

Smiley face Smiley face Junel 1.5/30 (norethindrone/ ethinyl estradiol) + Xopenex HFA (levalbuterol inhaled)

Monitor/Modify Tx


ethinyl estradiol (contraceptive) + levalbuterol inhaled

monitor BP: combo may incr. risk of HTN (additive effects)

Smiley face Smiley face ketoprofen (generic) + Xopenex HFA (levalbuterol inhaled)

Monitor/Modify Tx


ketoprofen + levalbuterol inhaled

monitor BP: combo may incr. risk of HTN (additive effects)

Caution Advised

Smiley face Smiley face Acuvail (ketorolac ophthalmic) + tobramycin/dexamethasone ophthalmic (generic)

Caution Advised


ketorolac ophthalmic + dexamethasone ophthalmic

caution advised: combo may slow or delay ocular wound healing (additive effects)

Additional Considerations

Smiley face Smiley face morphine in Morphabond ER

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

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

avoid combo with beverages or products containing ethanol and some morphine extended-release (ER) capsules; combo may incr. morphine release rate, levels, risk of adverse effects, including life-threatening overdose, decr. duration of efficacy

Smiley face Smiley face zoster vaccine, live in Zostavax

Discontinued in US

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