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Interaction Check

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Selected Drugs Clear All

  • remove Aloprim
    allopurinol
  • remove K-Dur
    potassium chloride
  • remove magnesium hydroxide
    generic
  • remove red vine leaf extract
    grape (Vitis spp.)
  • remove Retacrit
    epoetin alfa
  • remove topiramate
    generic
  • remove Zynrelef
    bupivacaine/ meloxicam

multicheck MultiCheck Results - 4 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face K-Dur (potassium chloride) + Zynrelef (bupivacaine/ meloxicam)

Avoid/Use Alternative


potassium chloride + meloxicam

IV potassium chloride: use alternative or monitor potassium, ECG; ORAL potassium: monitor potassium, ECG: combo may incr. risk of severe hyperkalemia, cardiac arrest (additive effects)

Monitor/Modify Tx

Smiley face Smiley face Retacrit (epoetin alfa) + Zynrelef (bupivacaine/ meloxicam)

Monitor/Modify Tx


epoetin alfa + meloxicam

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

Caution Advised

Smiley face Smiley face Aloprim (allopurinol) + topiramate (generic)

Caution Advised


allopurinol + topiramate

caution advised: combo may incr. risk of CNS depression, psychomotor impairment (additive effects)

Smiley face Smiley face Retacrit (epoetin alfa) + topiramate (generic)

Caution Advised


epoetin alfa + topiramate

caution advised if seizure disorder use: combo may alter seizure control (antagonistic effects, epoetin alfa may decr. seizure threshold)

Additional Considerations

Smiley face Smiley face topiramate

beverages or products containing ethanol are contraindicated within 6h of topiramate extended-release (ER) capsules administration; combo may incr. topiramate release rate, levels, risk of adverse effects, decr. duration of efficacy

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