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Interaction Check

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Selected Drugs Clear All

  • remove Norco
    hydrocodone/ acetaminophen
  • remove Pentam
    pentamidine

multicheck MultiCheck Results - 1 Interaction

Smiley face Smiley face

Monitor/Modify Tx

Smiley face Smiley face Norco (hydrocodone/ acetaminophen) + Pentam (pentamidine)

Monitor/Modify Tx


hydrocodone + pentamidine

monitor ECG, electrolytes, BP, especially if hydrocodone ER doses >160 mg/day; risk may be lower w/ nebulized pentamidine: combo may incr. risk of QT prolongation, cardiac arrhythmias, severe or life-threatening hypotension, including orthostasis, syncope (additive effects)

Additional Considerations

Smiley face Smiley face hydrocodone in Norco

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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