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Interaction Check

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Selected Drugs Clear All

  • remove Advil Allergy Sinus
    ibuprofen/ chlorpheniramine/ pseudoephedrine
  • remove benzonatate
    generic
  • remove Famvir
    famciclovir
  • remove Fioricet with Codeine
    butalbital/ acetaminophen/ caffeine/ codeine
  • remove nicardipine
    generic

multicheck MultiCheck Results - 9 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Advil Allergy Sinus (ibuprofen/ chlorpheniramine/ pseudoephedrine) + Fioricet with Codeine (butalbital/ acetaminophen/ caffeine/ codeine)

Avoid/Use Alternative


chlorpheniramine + butalbital

avoid combo: combo may incr. risk of CNS and respiratory depression, psychomotor impairment (additive effects)

chlorpheniramine + codeine

avoid combo if antitussive use; otherwise monitor respiratory rate; 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 constipation/paralytic ileus, other anticholinergic adverse effects (additive effects)

Monitor/Modify Tx


ibuprofen + caffeine

monitor BP; avoid excessive caffeine intake: combo may incr. risk of HTN (additive effects)

pseudoephedrine + caffeine

monitor BP, HR; avoid excessive caffeine intake: combo may incr. risk of HTN, tachycardia (additive effects)

Smiley face Smiley face Fioricet with Codeine (butalbital/ acetaminophen/ caffeine/ codeine) + nicardipine (generic)

Avoid/Use Alternative


butalbital + nicardipine

use alternative or monitor BP: combo may decr. nicardipine levels, efficacy (hepatic metabolism induced)

codeine + nicardipine

use alternative or monitor respiratory rate, BP; consider decr. codeine dose: combo may incr. codeine and active metabolite morphine levels, risk of 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)

Monitor/Modify Tx


caffeine + nicardipine

monitor BP; avoid excessive caffeine intake: combo may decr. antihypertensive agent efficacy (antagonistic effects)

Monitor/Modify Tx

Smiley face Smiley face Advil Allergy Sinus (ibuprofen/ chlorpheniramine/ pseudoephedrine) + nicardipine (generic)

Monitor/Modify Tx


ibuprofen + nicardipine

monitor BP: combo may decr. antihypertensive agent efficacy (antagonistic effects)

pseudoephedrine + nicardipine

monitor BP: combo may decr. antihypertensive agent efficacy (antagonistic effects)

Additional Considerations

Smiley face Smiley face codeine in Fioricet with Codeine

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

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

Smiley face Smiley face pseudoephedrine in Advil Allergy Sinus

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

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