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Interaction Check

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Selected Drugs Clear All

  • remove Hyftor
    sirolimus topical
  • remove losartan/ hydrochlorothiazide
    generic
  • remove Roxanol
    morphine sulfate

multicheck MultiCheck Results - 2 Interactions

Smiley face Smiley face

Monitor/Modify Tx

Smiley face Smiley face losartan/hydrochlorothiazide (generic) + Roxanol (morphine sulfate)

Monitor/Modify Tx


hydrochlorothiazide + morphine

monitor BP: combo may incr. risk of severe hypotension, including orthostasis, syncope; may decr. hydrochlorothiazide efficacy (additive effects; antagonistic effects, opioids may induce antidiuretic hormone release)

losartan + morphine

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

Additional Considerations

Smiley face Smiley face morphine in Roxanol

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

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

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

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