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Interaction Check

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Selected Drugs Clear All

  • remove Korean red ginseng
    ginseng, Asian (Panax ginseng)
  • remove loperamide
    generic
  • remove Lortab
    hydrocodone/ acetaminophen
  • remove Motofen
    difenoxin/ atropine

multicheck MultiCheck Results - 5 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Lortab (hydrocodone/ acetaminophen) + Motofen (difenoxin/ atropine)

Avoid/Use Alternative


hydrocodone + difenoxin

avoid combo if antitussive use; otherwise monitor respiratory rate, decr. dose of one or both drugs, use lowest effective doses and shortest duration of concomitant tx: combo may incr. risk of profound CNS and respiratory depression, psychomotor impairment, severe constipation, paralytic ileus (additive effects)

Caution Advised


hydrocodone + atropine

caution advised: combo may incr. risk of severe constipation, paralytic ileus, urinary retention (additive effects)

Caution Advised

Smiley face Smiley face loperamide (generic) + Lortab (hydrocodone/ acetaminophen)

Caution Advised


loperamide + hydrocodone

caution advised: combo may incr. risk of severe constipation/paralytic ileus, other anticholinergic adverse effects (additive effects)

Smiley face Smiley face loperamide (generic) + Motofen (difenoxin/ atropine)

Caution Advised


loperamide + atropine

caution advised: combo may incr. risk of severe constipation, paralytic ileus (additive effects)

loperamide + difenoxin

caution advised: combo may incr. risk of severe constipation, paralytic ileus (additive effects)

Additional Considerations

Smiley face Smiley face hydrocodone in Lortab

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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