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Interaction Check

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Selected Drugs Clear All

  • remove Cambia
    diclofenac potassium
  • remove Kalbitor
    ecallantide
  • remove luteina
    lutein
  • remove Mucinex Fast-Max DM Max
    dextromethorphan/ guaifenesin
  • remove Pertzye
    pancrelipase
  • remove Twirla
    levonorgestrel/ ethinyl estradiol transdermal
  • remove Zenzedi
    dextroamphetamine

multicheck MultiCheck Results - 5 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Mucinex Fast-Max DM Max (dextromethorphan/ guaifenesin) + Zenzedi (dextroamphetamine)

Avoid/Use Alternative


dextromethorphan + dextroamphetamine

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

Monitor/Modify Tx

Smiley face Smiley face Cambia (diclofenac potassium) + Twirla (levonorgestrel/ ethinyl estradiol transdermal)

Monitor/Modify Tx


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)

diclofenac + levonorgestrel (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)

Smiley face Smiley face Cambia (diclofenac potassium) + Zenzedi (dextroamphetamine)

Monitor/Modify Tx


diclofenac + dextroamphetamine

monitor BP: combo may incr. risk of HTN (additive effects)

Smiley face Smiley face Twirla (levonorgestrel/ ethinyl estradiol transdermal) + Zenzedi (dextroamphetamine)

Monitor/Modify Tx


ethinyl estradiol (contraceptive) + dextroamphetamine

monitor BP: combo may incr. risk of HTN (additive effects)

Additional Considerations

Smiley face Smiley face dextroamphetamine in Zenzedi

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

avoid combo with beverages or products containing ethanol and Mydayis; combo may incr. dextroamphetamine release rate, levels, risk of adverse effects, decr. duration of efficacy

Smiley face Smiley face dextromethorphan in Mucinex Fast-Max DM Max

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

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