Selected Drugs Clear All

  • remove Brixadi
    buprenorphine
  • remove promethazine/ dextromethorphan
    generic
  • remove Sprycel
    dasatinib
  • remove tetrabenazine
    generic

multicheck MultiCheck Results - 5 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Brixadi (buprenorphine) + promethazine/dextromethorphan (generic)

Avoid/Use Alternative


buprenorphine + dextromethorphan

use alternative or monitor serotonin syndrome sx, especially during initiation/titration: combo may incr. risk of serotonin syndrome (additive effects)

buprenorphine + promethazine

use alternative or monitor respiratory rate, BP; decr. buprenorphine by at least 25-50%, consider decr. promethazine dose, use lowest effective doses and shortest duration of concomitant tx: combo may incr. risk of profound CNS and respiratory depression, psychomotor impairment, seizures, severe hypotension (including orthostasis, syncope), severe constipation, paralytic ileus, urinary retention (additive effects)

Smiley face Smiley face promethazine/dextromethorphan (generic) + tetrabenazine (generic)

Avoid/Use Alternative


promethazine + tetrabenazine

use alternative or monitor ECG, respiratory rate; decr. dose of one or both drugs: combo may incr. risk of QT prolongation, cardiac arrhythmias, CNS and respiratory depression, psychomotor impairment, extrapyramidal symptoms (additive effects)

Monitor/Modify Tx

Smiley face Smiley face Brixadi (buprenorphine) + tetrabenazine (generic)

Monitor/Modify Tx


buprenorphine + tetrabenazine

monitor respiratory rate, ECG; 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, QT prolongation, cardiac arrhythmias (additive effects)

Smiley face Smiley face Sprycel (dasatinib) + tetrabenazine (generic)

Monitor/Modify Tx


dasatinib + tetrabenazine

monitor ECG, electrolytes: combo may incr. risk of QT prolongation, cardiac arrhythmias (additive effects)

Additional Considerations

Smiley face Smiley face buprenorphine in Brixadi

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

Smiley face Smiley face tetrabenazine

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

Smiley face Smiley face dextromethorphan in promethazine/dextromethorphan

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

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