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Interaction Check

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Selected Drugs Clear All

  • remove amoxapine
    generic
  • remove hydromorphone
    generic
  • remove thiothixene
    generic

multicheck MultiCheck Results - 3 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face amoxapine (generic) + hydromorphone (generic)

Avoid/Use Alternative


amoxapine + hydromorphone

use alternative or monitor respiratory rate, BP, serotonin syndrome sx, especially during initiation/titration; 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), serotonin syndrome, severe constipation, paralytic ileus, urinary retention (additive effects)

Monitor/Modify Tx

Smiley face Smiley face amoxapine (generic) + thiothixene (generic)

Monitor/Modify Tx


amoxapine + thiothixene

monitor BP; consider decr. dose of one or both drugs: combo may incr. risk of CNS depression, psychomotor impairment, hypotension (including orthostasis, syncope), extrapyramidal symptoms, anticholinergic adverse effects (additive effects)

Smiley face Smiley face hydromorphone (generic) + thiothixene (generic)

Monitor/Modify Tx


hydromorphone + thiothixene

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, urinary retention (additive effects)

Additional Considerations

Smiley face Smiley face hydromorphone

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

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

Smiley face Smiley face amoxapine

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

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