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Interaction Check

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Selected Drugs Clear All

  • remove phenylephrine
    generic
  • remove pseudoephedrine
    generic
  • remove Toprol-XL
    metoprolol succinate

multicheck MultiCheck Results - 3 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face phenylephrine (generic) + pseudoephedrine (generic)

Avoid/Use Alternative


phenylephrine + pseudoephedrine

avoid combo: combo may incr. risk of HTN, tachycardia, other cardiovascular and CNS stimulatory effects (additive effects, duplicate therapy)

Monitor/Modify Tx

Smiley face Smiley face phenylephrine (generic) + Toprol-XL (metoprolol succinate)

Monitor/Modify Tx


phenylephrine + metoprolol

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

Smiley face Smiley face pseudoephedrine (generic) + Toprol-XL (metoprolol succinate)

Monitor/Modify Tx


pseudoephedrine + metoprolol

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

Additional Considerations

Smiley face Smiley face metoprolol in Toprol-XL

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

Smiley face Smiley face phenylephrine

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

Smiley face Smiley face pseudoephedrine

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

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