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Interaction Check

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Selected Drugs Clear All

  • remove Addyi
    flibanserin
  • remove diclofenac sodium
    generic
  • remove Tylenol w/ Codeine #4
    acetaminophen/ codeine
  • remove Velivet
    desogestrel/ ethinyl estradiol

multicheck MultiCheck Results - 7 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Addyi (flibanserin) + Tylenol w/ Codeine #4 (acetaminophen/ codeine)

Avoid/Use Alternative


flibanserin + codeine

avoid combo if antitussive use; otherwise, use alternative or monitor respiratory rate, BP; decr. dose of one or both drugs, use lowest effective doses and shortest duration of concomitant tx: combo may incr. codeine and active metabolite morphine levels, risk of profound CNS and respiratory depression, psychomotor impairment, severe hypotension (including orthostasis, syncope), other adverse effects (hepatic metabolism inhibited, may incr. production of active metabolite morphine; additive effects)

Smiley face Smiley face diclofenac sodium (generic) + Tylenol w/ Codeine #4 (acetaminophen/ codeine)

Avoid/Use Alternative


diclofenac + acetaminophen

use alternative or monitor LFTs; use lowest effective doses, shortest effective tx duration: combo may incr. risk of hepatotoxicity (possible additive effects)

Smiley face Smiley face Tylenol w/ Codeine #4 (acetaminophen/ codeine) + Velivet (desogestrel/ ethinyl estradiol)

Avoid/Use Alternative


codeine + ethinyl estradiol (contraceptive)

use alternative or monitor respiratory rate, withdrawal sx: combo may incr. codeine, alter active metabolite morphine levels, incr. risk of CNS and respiratory depression, psychomotor impairment, other adverse effects or decr. efficacy (hepatic metabolism inhibited, may alter production of active metabolite morphine)

Monitor/Modify Tx


acetaminophen + ethinyl estradiol (contraceptive)

monitor thrombosis s/sx: combo may incr. ethinyl estradiol levels, risk of thromboembolism, other adverse effects (mechanism unknown)

Monitor/Modify Tx

Smiley face Smiley face Addyi (flibanserin) + Velivet (desogestrel/ ethinyl estradiol)

Monitor/Modify Tx


flibanserin + ethinyl estradiol (contraceptive)

monitor BP: combo may incr. flibanserin levels, risk of CNS depression, psychomotor impairment, severe hypotension (including syncope), other adverse effects (hepatic metabolism inhibited)

Smiley face Smiley face diclofenac sodium (generic) + Velivet (desogestrel/ ethinyl estradiol)

Monitor/Modify Tx


diclofenac + desogestrel (contraceptive)

monitor thrombosis s/sx, especially w/ concomitant estrogen use; use lowest effective diclofenac dose, shortest effective tx duration: combo may incr. risk of thromboembolism (additive effects)

diclofenac + ethinyl estradiol (contraceptive)

monitor BP, thrombosis s/sx; use lowest effective diclofenac dose, shortest effective tx duration: combo may incr. risk of HTN, thromboembolism (additive effects)

Additional Considerations

Smiley face Smiley face codeine in Tylenol w/ Codeine #4

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

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

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