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Interaction Check

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Selected Drugs Clear All

  • remove Desoxyn
    methamphetamine
  • remove Paxlovid
    nirmatrelvir and ritonavir
  • remove Xyrem
    sodium oxybate
  • remove Zoloft
    sertraline

multicheck MultiCheck Results - 4 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Desoxyn (methamphetamine) + Zoloft (sertraline)

Avoid/Use Alternative


methamphetamine + sertraline

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

Smiley face Smiley face Xyrem (sodium oxybate) + Zoloft (sertraline)

Avoid/Use Alternative


oxybate + sertraline

use alternative or monitor respiratory rate; decr. dose of one or both drugs: combo may incr. risk of profound CNS and respiratory depression, psychomotor impairment, hypotension, syncope (additive effects)

Monitor/Modify Tx

Smiley face Smiley face Desoxyn (methamphetamine) + Paxlovid (nirmatrelvir and ritonavir)

Monitor/Modify Tx


methamphetamine + ritonavir

monitor serotonin syndrome sx, especially during initiation/titration: combo may incr. methamphetamine levels, risk of serotonin syndrome, other adverse effects (hepatic metabolism possibly inhibited)

Smiley face Smiley face Paxlovid (nirmatrelvir and ritonavir) + Zoloft (sertraline)

Monitor/Modify Tx


ritonavir + sertraline

monitor ECG: combo may incr. sertraline levels, risk of QT prolongation, cardiac arrhythmias, other adverse effects (hepatic metabolism inhibited)

Additional Considerations

Smiley face Smiley face nirmatrelvir in Paxlovid

patients on ritonavir- or cobicistat-containing HIV or HCV regimens may continue their tx as indicated

Smiley face Smiley face sertraline in Zoloft

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

Smiley face Smiley face methamphetamine in Desoxyn

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

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