Selected Drugs Clear All
MultiCheck Results
- 3
Interactions
Avoid/Use Alternative |
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Lomedia 24 Fe
(norethindrone/ ethinyl estradiol) + Panlor SS
(acetaminophen/ caffeine/ dihydrocodeine) |
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Avoid/Use Alternativeethinyl estradiol (contraceptive) + dihydrocodeine use alternative or monitor respiratory rate, withdrawal sx: combo may incr. dihydrocodeine levels, risk of CNS and respiratory depression, psychomotor impairment, other adverse effects; may decr. active metabolite dihydromorphine levels, efficacy (hepatic metabolism inhibited, decr. conversion to dihydromorphine) Monitor/Modify Txethinyl estradiol (contraceptive) + acetaminophen monitor thrombosis s/sx: combo may incr. ethinyl estradiol levels, risk of thromboembolism, other adverse effects (mechanism unknown) ethinyl estradiol (contraceptive) + caffeine monitor BP; avoid excessive caffeine intake: combo may incr. caffeine levels, risk of HTN, other adverse effects (hepatic metabolism inhibited, additive effects) |
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Additional Considerations |
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dihydrocodeine
in Panlor SS
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consider prescribing an opioid overdose reversal agent, especially with concomitant CNS depressant use |
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