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Interaction Check

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Selected Drugs Clear All

  • remove hydrocodone/ acetaminophen
    generic
  • remove Seroquel XR
    quetiapine
  • remove Strattera
    atomoxetine

multicheck MultiCheck Results - 2 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face hydrocodone/acetaminophen (generic) + Seroquel XR (quetiapine)

Avoid/Use Alternative


hydrocodone + quetiapine

avoid combo if antitussive use; otherwise 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, other anticholinergic adverse effects (additive effects)

Monitor/Modify Tx

Smiley face Smiley face Seroquel XR (quetiapine) + Strattera (atomoxetine)

Monitor/Modify Tx


quetiapine + atomoxetine

monitor BP, especially in pts <18 yo: combo may incr. risk of HTN (additive effects)

Additional Considerations

Smiley face Smiley face atomoxetine in Strattera

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

Smiley face Smiley face hydrocodone in hydrocodone/acetaminophen

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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