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Interaction Check

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Selected Drugs Clear All

  • remove Brixadi
    buprenorphine
  • remove promethazine/ dextromethorphan
    generic
  • remove Sprycel
    dasatinib
  • remove Tibsovo
    ivosidenib
  • remove Venofer
    iron sucrose
  • remove Wixela Inhub
    fluticasone propionate/ salmeterol inhaled

multicheck MultiCheck Results - 8 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Brixadi (buprenorphine) + promethazine/dextromethorphan (generic)

Avoid/Use Alternative


buprenorphine + dextromethorphan

use alternative or monitor serotonin syndrome sx, especially during initiation/titration: combo may incr. risk of serotonin syndrome (additive effects)

buprenorphine + promethazine

use alternative or monitor respiratory rate, BP; decr. buprenorphine by at least 25-50%, consider decr. promethazine dose, use lowest effective doses and shortest duration of concomitant tx: combo may incr. risk of profound CNS and respiratory depression, psychomotor impairment, seizures, severe hypotension (including orthostasis, syncope), severe constipation, paralytic ileus, urinary retention (additive effects)

Smiley face Smiley face Brixadi (buprenorphine) + Tibsovo (ivosidenib)

Avoid/Use Alternative


buprenorphine + ivosidenib

use alternative or monitor ECG, electrolytes, withdrawal sx: combo may incr. risk of QT prolongation, cardiac arrhythmias; may decr. buprenorphine levels, efficacy (additive effects; hepatic metabolism induced)

Smiley face Smiley face Sprycel (dasatinib) + Tibsovo (ivosidenib)

Avoid/Use Alternative


dasatinib + ivosidenib

use alternative or consider incr. dasatinib dose; monitor ECG, electrolytes: combo may incr. risk of QT prolongation, cardiac arrhythmias; may decr. dasatinib levels, efficacy (additive effects; hepatic metabolism induced)

Monitor/Modify Tx

Smiley face Smiley face Brixadi (buprenorphine) + Venofer (iron sucrose)

Monitor/Modify Tx


buprenorphine + iron sucrose

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

Smiley face Smiley face promethazine/dextromethorphan (generic) + Tibsovo (ivosidenib)

Monitor/Modify Tx


promethazine + ivosidenib

monitor ECG, electrolytes: combo may incr. risk of QT prolongation, cardiac arrhythmias (additive effects)

Smiley face Smiley face promethazine/dextromethorphan (generic) + Venofer (iron sucrose)

Monitor/Modify Tx


promethazine + iron sucrose

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

Smiley face Smiley face Tibsovo (ivosidenib) + Wixela Inhub (fluticasone propionate/ salmeterol inhaled)

Monitor/Modify Tx


ivosidenib + salmeterol inhaled

monitor ECG, electrolytes: combo may incr. risk of QT prolongation, cardiac arrhythmias (additive effects)

Additional Considerations

Smiley face Smiley face buprenorphine in Brixadi

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

Smiley face Smiley face dextromethorphan in promethazine/dextromethorphan

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

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