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Interaction Check

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Selected Drugs Clear All

  • remove Exparel
    bupivacaine liposomal
  • remove Goody's Powder Back & Body Pain
    acetaminophen/ aspirin
  • remove Tussionex PennKinetic
    chlorpheniramine/ hydrocodone

multicheck MultiCheck Results - 2 Interactions

Smiley face Smiley face

Monitor/Modify Tx

Smiley face Smiley face Exparel (bupivacaine liposomal) + Tussionex PennKinetic (chlorpheniramine/ hydrocodone)

Monitor/Modify Tx


bupivacaine liposomal + hydrocodone

monitor BP: combo may incr. risk of severe hypotension, including orthostasis, syncope (additive effects)

Caution Advised

Smiley face Smiley face Exparel (bupivacaine liposomal) + Goody's Powder Back & Body Pain (acetaminophen/ aspirin)

Caution Advised


bupivacaine liposomal + acetaminophen

caution advised: combo may incr. risk of methemoglobinemia (additive effects)

Additional Considerations

Smiley face Smiley face hydrocodone in Tussionex PennKinetic

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

benzhydrocodone (prodrug) rapidly converted to hydrocodone; similar interactions anticipated

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

avoid combo with beverages or products containing ethanol and some hydrocodone extended-release (ER) capsules; combo may incr. hydrocodone release rate, levels, risk of adverse effects, including life-threatening overdose, decr. duration of efficacy

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