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Interaction Check

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Selected Drugs Clear All

  • remove hydrocodone/ homatropine
    generic
  • remove MonoNessa
    norgestimate/ ethinyl estradiol

multicheck MultiCheck Results - 1 Interaction

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face hydrocodone/homatropine (generic) + MonoNessa (norgestimate/ ethinyl estradiol)

Avoid/Use Alternative


hydrocodone + ethinyl estradiol (contraceptive)

use alternative or monitor respiratory rate, ECG, consider decr. (benz)hydrocodone dose: combo may incr. hydrocodone levels, risk of CNS and respiratory depression, psychomotor impairment, QT prolongation, cardiac arrhythmias, other adverse effects (hepatic metabolism inhibited)

Additional Considerations

Smiley face Smiley face hydrocodone in hydrocodone/homatropine

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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