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Interaction Check

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Selected Drugs Clear All

  • remove BackAid Max
    acetaminophen/ pamabrom
  • remove Bunavail
    buprenorphine/ naloxone
  • remove Topamax
    topiramate

multicheck MultiCheck Results - 2 Interactions

Smiley face Smiley face

Monitor/Modify Tx

Smiley face Smiley face BackAid Max (acetaminophen/ pamabrom) + Bunavail (buprenorphine/ naloxone)

Monitor/Modify Tx


pamabrom + buprenorphine

monitor BP; consider incr. pamabrom dose: combo may decr. pamabrom efficacy (antagonistic effects, opioids may induce antidiuretic hormone release)

Smiley face Smiley face Bunavail (buprenorphine/ naloxone) + Topamax (topiramate)

Monitor/Modify Tx


buprenorphine + topiramate

monitor respiratory rate, withdrawal sx; use lowest effective doses and shortest duration of concomitant tx: combo may incr. risk of profound CNS and respiratory depression, psychomotor impairment; may alter seizure control; topiramate doses >200 mg/day may decr. buprenorphine levels, efficacy (additive effects; antagonistic effects, buprenorphine may decr. seizure threshold; hepatic metabolism induced)

Additional Considerations

Smiley face Smiley face topiramate in Topamax

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

Smiley face Smiley face buprenorphine in Bunavail

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

Smiley face Smiley face naloxone (abuse deterrent) in Bunavail

no pharmacologic activity when administered as directed

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