Selected Drugs Clear All
MultiCheck Results
- 3
Interactions
Avoid/Use Alternative |
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Junel 1.5/30
(norethindrone/ ethinyl estradiol) + Tylenol w/ Codeine #3
(acetaminophen/ codeine) |
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Avoid/Use Alternativeethinyl estradiol (contraceptive) + codeine use alternative or monitor respiratory rate, withdrawal sx: combo may incr. codeine, alter active metabolite morphine levels, incr. risk of CNS and respiratory depression, psychomotor impairment, other adverse effects or decr. efficacy (hepatic metabolism inhibited, may alter production of active metabolite morphine) Monitor/Modify Txethinyl estradiol (contraceptive) + acetaminophen monitor thrombosis s/sx: combo may incr. ethinyl estradiol levels, risk of thromboembolism, other adverse effects (mechanism unknown) |
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Monitor/Modify Tx |
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bismuth subsalicylate
(generic) + Junel 1.5/30
(norethindrone/ ethinyl estradiol) |
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Monitor/Modify Txbismuth subsalicylate + ethinyl estradiol (contraceptive) 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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codeine
in Tylenol w/ Codeine #3
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consider prescribing an opioid overdose reversal agent, especially with concomitant CNS depressant use add MAO inhibitor to Interaction Check if recent (14 days) use |
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