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Interaction Check

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Selected Drugs Clear All

  • remove Camrese
    levonorgestrel/ ethinyl estradiol
  • remove HepaGam B
    hepatitis B immune globulin (human)
  • remove lamotrigine
    generic
  • remove nadolol
    generic

multicheck MultiCheck Results - 5 Interactions

Smiley face Smiley face

Monitor/Modify Tx

Smiley face Smiley face Camrese (levonorgestrel/ ethinyl estradiol) + HepaGam B (hepatitis B immune globulin (human))

Monitor/Modify Tx


ethinyl estradiol (contraceptive) + hepatitis B immune globulin

monitor thrombosis s/sx; use lowest hepatitis B immune globulin infusion rate possible: combo may incr. risk of thromboembolism (additive effects)

levonorgestrel (contraceptive) + hepatitis B immune globulin

monitor thrombosis s/sx, especially w/ concomitant estrogen use; use lowest hepatitis B immune globulin infusion rate possible: combo may incr. risk of thromboembolism (additive effects)

Smiley face Smiley face Camrese (levonorgestrel/ ethinyl estradiol) + lamotrigine (generic)

Monitor/Modify Tx


ethinyl estradiol (contraceptive) + lamotrigine

consider gradual incr. of lamotrigine maint. dose up to 2-fold, initial dose escalation unchanged; no change if also on carbamazepine, phenytoin, phenobarbital, primidone, rifampin, or ritonavir: combo may decr. lamotrigine levels, efficacy; transient incr. of lamotrigine levels, adverse effects may occur during inert tab phase (UGT induced)

Smiley face Smiley face Camrese (levonorgestrel/ ethinyl estradiol) + nadolol (generic)

Monitor/Modify Tx


ethinyl estradiol (contraceptive) + nadolol

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

Smiley face Smiley face lamotrigine (generic) + nadolol (generic)

Monitor/Modify Tx


lamotrigine + nadolol

monitor HR: combo may incr. risk of bradycardia (additive effects)

Additional Considerations

Smiley face Smiley face lamotrigine

caution advised with other sodium channel blockers; combo may increase risk of ECG changes, cardiac arrhythmias; additive effects

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