Cobicistat; Elvitegravir; Acetaminophenmg Tenofovir Alafenamide: Major Monitor for respiratory depression and sedation if hydrocodone and conivaptan are coadministered; consider dosage adjustments if necessary.
Acetaminophenmg administration of a CYP3A4 inhibitor, such as conivaptan, may hydrocodone an increase in hydrocodone plasma concentrations, hydrocodone acetaminophenmg, which could increase or prolong adverse effects.
Moderate Concomitant use of hydrocodone with crizotinib may increase hydrocodone plasma hydrocodone and prolong opioid adverse reactions, including hypotension, respiratory depression, hydrocodone acetaminophenmg, profound sedation, coma, and death.
Monitor patients closely at frequent intervals hydrocodone consider a dosage reduction of hydrocodone until stable hydrocodone effects are achieved, hydrocodone acetaminophenmg. Discontinuation of crizotinib could decrease hydrocodone plasma concentrations, decrease opioid efficacy, and potentially lead to a withdrawal syndrome in those with hydrocodone dependence to hydrocodone.
If crizotinib is discontinued, monitor the patient carefully and consider increasing the opioid dosage if appropriate. Hydrocodone is a substrate for CYP3A4. Crizotinib is a moderate inhibitor of CYP3A4. Moderate Pharmacodynamic interactions between crofelemer and opiate agonists are theoretically possible.
Crofelemer does not affect GI motility mechanisms, but does have antidiarrheal effects. Patients taking medications that decrease GI motility, hydrocodone acetaminophenmg, such as opiate agonists, may be at greater risk for serious complications from crofelemer, such as constipation with chronic use.
Use caution and monitor GI symptoms during coadministration. Major Monitor for respiratory depression and sedation if hydrocodone and dalfopristin; quinupristin are coadministered; consider dosage adjustments if necessary. Concomitant administration of a CYP3A4 inhibitor, such as dalfopristin; quinupristin, may cause an increase in hydrocodone plasma concentrations, which could increase or prolong adverse effects.
Major Monitor for respiratory depression and sedation if hydrocodone and danazol are coadministered; consider dosage adjustments if necessary.
Concomitant administration of a CYP3A4 inhibitor, such as danazol, hydrocodone acetaminophenmg, may cause an increase in hydrocodone plasma concentrations, which could increase or prolong adverse effects, hydrocodone acetaminophenmg. Major Monitor for respiratory depression and sedation if hydrocodone and darunavir are coadministered; consider dosage adjustments if necessary, hydrocodone acetaminophenmg.
Concomitant administration of a CYP3A4 inhibitor, such as darunavir, may cause an increase in hydrocodone plasma concentrations, which could increase or prolong adverse effects.
Dasabuvir; Ombitasvir; Paritaprevir; Ritonavir: Major Concurrent administration of hydrocodone with ritonavir may result in elevated hydrocodone plasma concentrations and subsequent adverse events, such as sedation and respiratory depression. Theoretically, coadministration of hydrocodone and a CYP2D6 inhibitor, such as ritonavir may reduce the efficacy of hydrocodone. Caution and close monitoring for both efficacy and adverse reactions are advised if these drugs are administered together; a hydrocodone dosage adjustment may be necessary.
Moderate Concurrent administration of acetaminophen with ritonavir may result in elevated acetaminophen plasma concentrations acetaminophenmg subsequent adverse acetaminophenmg. Acetaminophen is metabolized by the hepatic isoenzyme CYP3A4; ritonavir is an inhibitor of this enzyme. Caution and close monitoring are advised if hydrocodone drugs are administered together. Major Monitor for respiratory depression and sedation if hydrocodone and dasatinib are coadministered; consider dosage adjustments if necessary.
Concomitant administration of a CYP3A4 inhibitor, such as dasatinib, may cause an increase in hydrocodone plasma concentrations, which could increase or prolong adverse effects, hydrocodone acetaminophenmg. Major Monitor for respiratory depression, sedation and decreased analgesic effect if hydrocodone and delavirdine are acetaminophenmg consider dosage adjustments if necessary. Concomitant administration of a CYP3A4 inhibitor, such as delavirdine, may cause an increase in hydrocodone plasma concentrations, which could increase or prolong adverse effects.
Theoretically, coadministration of hydrocodone and a CYP2D6 inhibitor, such as delavirdine, may result in a reduction in the analgesic effect of hydrocodone, hydrocodone acetaminophenmg. Moderate Concurrent use with opiate agonists can decrease the minimum alveolar concentration MAC of desflurane needed to produce anesthesia. Minor Although desloratadine is considered a 'non-sedating' antihistamine, rare CNS effects such as dizziness and sedation have been reported.
For this reason, it would be prudent to monitor for drowsiness or dizziness when used concurrently with other CNS depressants such as opiate agonists. Hydrocodone Additive hyponatremic effects may be seen in patients treated with desmopressin and drugs associated with water intoxication, hydrocodone acetaminophenmg, hyponatremia, or SIADH price for benicar opiate agonists.
Use combination with caution, and monitor patients hydrocodone signs and symptoms of hyponatremia. Major Concomitant use of opiate agonists with deutetrabenazine may cause respiratory depression, hypotension, profound sedation, and death. Limit the hydrocodone of opiate pain medications with deutetrabenazine to only patients for whom alternative treatment options buy renova skin cream inadequate.
If acetaminophen; hydrocodone or hydrocodone; ibuprofen are initiated in a patient taking acetaminophenmg, reduced initial doses are recommended. If deutetrabenazine is prescribed for a patient taking an opiate agonist, use a lower initial dose of deutetrabenazine and hydrocodone to clinical response. Avoid prescribing opiate cough medications in patients taking deutetrabenazine. Dexamethasone, an inducer of CYP3A4, may cause increased clearance acetaminophenmg hydrocodone, which hydrocodone result in lack of efficacy or the development of an abstinence syndrome hydrocodone a patient who had developed physical dependence to hydrocodone.
A higher hydrocodone dose may be needed if used with hydrocodone. Moderate Co-administration of dexmedetomidine with opiate agonists likely to lead to an enhancement of CNS depression. Moderate Use caution when using dexpanthenol with drugs that decrease gastrointestinal motility, such as opiate agonists, as it may decrease the hydrocodone of dexpanthenol.
Theoretically, coadministration of hydrocodone and a CYP2D6 inhibitor, hydrocodone acetaminophenmg, such acetaminophenmg quinidine, hydrocodone acetaminophenmg, may result in a reduction in the propranolol dikker worden effect of hydrocodone.
Acetaminophen has no effect on diflunisal concentrations. Acetaminophen in high doses has been associated with severe hepatotoxic reactions; therefore, hydrocodone acetaminophenmg, caution should be exercised when using these agents concomitantly. Major Monitor for respiratory depression and sedation if hydrocodone and diltiazem are coadministered; consider dosage adjustments if necessary, hydrocodone acetaminophenmg.
Concomitant administration of a CYP3A4 inhibitor, such as diltiazem, hydrocodone acetaminophenmg, may cause an increase in hydrocodone plasma concentrations, hydrocodone acetaminophenmg, which could increase or prolong acetaminophenmg effects. Prior to hydrocodone use of opiate agonists in patients taking a CNS depressant, assess the level of tolerance acetaminophenmg CNS depression that has hydrocodone, the duration of use, acetaminophenmg the patient's overall response to treatment.
When concomitant treatment is necessary, reduce the dose of 1 or both drugs, hydrocodone acetaminophenmg. Hydrocodone Monitor for respiratory depression, sedation and decreased analgesic effect if hydrocodone and dronedarone are coadministered; consider dosage adjustments if necessary. Concomitant administration of a CYP3A4 inhibitor, such as dronedarone, may cause an increase in hydrocodone plasma concentrations, which could increase or prolong adverse effects. Theoretically, coadministration of hydrocodone and a CYP2D6 inhibitor, such as dronedarone, may result in a reduction in the analgesic effect of hydrocodone.
According to the manufacturer, ethanol abuse and the use of benzodiazepines and intravenous opiates are risk factors for the development of prolonged QT syndrome in patients receiving droperidol. Moderate Acetaminophen may increase plasma ethinyl acetaminophenmg levels, possibly by inhibition of conjugation.
Patients taking acetaminophen concomitantly may experience an increase acetaminophenmg estrogen related side effects. Drospirenone; Ethinyl Estradiol; Levomefolate: Theoretically, coadministration of hydrocodone and a CYP2D6 inhibitor, hydrocodone as duloxetine, may acetaminophenmg in a acetaminophenmg in the analgesic effect of hydrocodone. Efavirenz, an inducer of CYP3A4, may cause increased clearance of hydrocodone, which could result in lack of efficacy or hydrocodone development of an abstinence syndrome in a patient who had developed physical dependence acetaminophenmg hydrocodone.
A higher hydrocodone dose may be needed if used with efavirenz. Also, the analgesic activity of acetaminophen may be reduced. Moderate Administering hydrocodone with elbasvir; grazoprevir may result in elevated hydrocodone plasma concentrations.
If these drugs are used together, acetaminophenmg monitor for signs of adverse events. Eliglustat is a CYP2D6 inhibitor. Although hydrocodone is primarily metabolized by CYP3A4 to form norhydrocodone, Acetaminophenmg also contributes to conversion of hydrocodone to hydromorphone, which may contribute to the acetaminophenmg analgesic activity of hydrocodone, hydrocodone acetaminophenmg.
The interaction is complex, and hydrocodone not be clinically significant for either result; however, hydrocodone acetaminophenmg, concomitant use of a CYP3A4 inhibitor with hydrocodone and eliglustat would significantly inhibit hydrocodone metabolism and likely result in an increase or prolongation of opioid effects.
If coadministration is necessary, use caution and monitor patients hydrocodone for opioid-related adverse effects and efficacy of pain management. To acetaminophenmg the potential of increased opioid concentrations, it may be prudent to reduce the dosage of hydrocodone until stable drug effects are achieved, and titrate to clinical effect, hydrocodone acetaminophenmg. If analgesic effect is not appropriate, hydrocodone acetaminophenmg, another agent may be considered.
Moderate Eltrombopag is a UDP-glucuronyltransferase inhibitor. Acetaminophen is a substrate of Acetaminophenmg. The significance or effect of this interaction is not known; however, hydrocodone acetaminophenmg, elevated concentrations of acetaminophen are possible, hydrocodone acetaminophenmg. Monitor patients for adverse reactions if these drugs are coadministered. Opiate agonists are a substrate of UDP-glucuronyltransferases.
The significance or effect of this interaction is not known; however, elevated concentrations of the opiate agonist is possible. Monitor patients for adverse reactions if eltrombopage is administered with an opiate agonist. Major Avoid use of eluxadoline with medications that may cause constipation, such as opiate agonists.
Opioids increase the tone and decrease the propulsive contractions of the smooth muscle within the gastrointestinal tract. In addition, the CYP3A4 metabolism of some opiate agonists may be inhibited by eluxadoline. Although the CYP3A4 inhibitory effects of eluxadoline have not been definitively established, the manufacturer recommends caution famciclovir 250mg precio administering eluxadoline concurrently with CYP3A4 substrates that have a narrow therapeutic index, such as fentanyl and alfentanil, hydrocodone acetaminophenmg.
Closely monitor for increased side effects if these lansoprazole gr 30mg caps are administered together, hydrocodone acetaminophenmg.
Discontinue use of eluxadoline in patients who develop severe constipation lasting more than 4 days. Drugs that may cause additive CNS effects include general anesthetics. Moderate Monitor for reduced efficacy of hydrocodone and signs of opioid withdrawal if coadministration with enzalutamide is necessary; consider increasing the dose of hydrocodone as needed.
If enzalutamide is discontinued, hydrocodone acetaminophenmg, consider a dose reduction of hydrocodone acetaminophenmg frequently monitor for signs or respiratory depression and sedation. Concomitant use with CYP3A4 hydrocodone can decrease hydrocodone levels; this may result in decreased efficacy or onset of a withdrawal syndrome in patients acetaminophenmg have developed physical dependence.
Major Monitor for respiratory depression and sedation if hydrocodone and erythromycin are coadministered; consider dosage adjustments if necessary. Concomitant administration of a Hydrocodone inhibitor, such as erythromycin, may cause an increase in hydrocodone plasma concentrations, which could increase or prolong adverse effects.
Major The risk of serotonin syndrome and reduced efficacy of hydrocodone is possible if escitalopram and hydrocodone are used together. Use of opioid medications with drugs known to affect the neurotransmitter system, such as escitalopram, has resulted in serotonin syndrome, hydrocodone acetaminophenmg. Also, acetaminophenmg of CYP2D6 metabolism by escitalopram may reduce the conversion of hydrocodone to its active forms, thus reducing analgesic efficacy, hydrocodone acetaminophenmg.
Coadministration may cause increased clearance of hydrocodone, which could result in lack of efficacy or the development of an abstinence syndrome in a patient who had developed physical dependence to hydrocodone. A higher hydrocodone dose may be needed if used with eslicarbazepine. Moderate Concomitant use of hydrocodone with eszopiclone may lead to hypotension, hydrocodone acetaminophenmg, profound sedation, coma, respiratory depression and death.
In addition, hydrocodone risk of next-day psychomotor impairment is increased during co-administration of eszopiclone and other CNS depressants, hydrocodone acetaminophenmg, which may decrease the acetaminophenmg to perform tasks requiring full mental alertness such as driving. Prior motrin babies buy concurrent use, assess the level of tolerance to CNS depression that has developed, the duration of use, hydrocodone acetaminophenmg, and the patient's overall response to treatment, hydrocodone acetaminophenmg.
Major Alcohol is associated with CNS depression. The combined use of alcohol and CNS depressants can lead to additive CNS depression, which could be dangerous in tasks requiring mental alertness and fatal in overdose. Alcohol taken with other CNS depressants can lead to additive respiratory depression, hypotension, profound sedation, or coma.
Consider the patient's acetaminophenmg of alcohol or illicit drugs when prescribing CNS depressant medications. In many cases, the patient should receive a lower dose of the CNS depressant initially if the acetaminophenmg is not likely to be compliant with avoiding alcohol. Major The risk of developing hepatotoxicity hydrocodone acetaminophen appears to be increased in patients who regularly consume ethanol, hydrocodone acetaminophenmg. Acute or hydrocodone ethanol use increases acetaminophen-induced hepatotoxicity by inducing cytochrome P CYP 2E1 leading to acetaminophenmg formation of the hepatotoxic hydrocodone of acetaminophen.
Also, chronic alcohol use can deplete liver glutathione stores. Administration of acetaminophen should be limited or avoided altogether in patients with alcoholism or patients who consume ethanol regularly. Ethinyl Estradiol; Ethynodiol Diacetate: Ethinyl Estradiol; Norethindrone Acetate: Ethinyl Estradiol; Norethindrone Acetate; Ferrous fumarate: Ethinyl Estradiol; Norethindrone; Ferrous fumarate: Moderate Hydrocodone CNS depression may occur when hydantoins are when given with hydrocodone, hydrocodone acetaminophenmg.
Also, hydrocodone acetaminophenmg metabolized by CYP3A4. Fosphenytoin hydrocodone phenytoin are CYP3A4 inducers and may cause increased clearance of hydrocodone, acetaminophenmg could result in hydrocodone of efficacy or the development of an abstinence syndrome in a patient who had developed physical dependence hydrocodone hydrocodone.
A higher hydrocodone dose may be needed if used with phenytoin or fosphenytoin. Etravirine, hydrocodone acetaminophenmg, an inducer of CYP3A4, may cause increased clearance of propranolol dikker worden, which could result in lack of efficacy or the development of an abstinence syndrome acetaminophenmg a patient who had developed physical dependence to hydrocodone.
A higher hydrocodone dose may be needed if used with etravirine. Moderate Monitor for an increase in hydrocodone-related adverse reactions, hydrocodone acetaminophenmg, including sedation and respiratory depression, hydrocodone coadministration with everolimus is necessary; consider reducing the dose of hydrocodone if clinically appropriate.
If everolimus is discontinued, monitor for evidence of opioid withdrawal until stable drug effects are achieved and consider increasing the hydrocodone dose if necessary. Hydrocodone is a CYP3A4 substrate, and coadministration with weak CYP3A4 inhibitors like everolimus can acetaminophenmg hydrocodone exposure resulting in increased or prolonged opioid effects including fatal respiratory depression, particularly when is 1mg of klonopin equal to 1mg of xanax inhibitor is added to a stable dose of hydrocodone.
If everolimus is discontinued, hydrocodone acetaminophenmg, hydrocodone plasma concentrations may decrease resulting in reduced efficacy of the opioid and potential withdrawal syndrome in a patient who has developed physical dependence to hydrocodone, hydrocodone acetaminophenmg. Minor Although an interaction is possible, these drugs may be used together. To avoid hydrocodone pharmacokinetic interactions that might alter effectiveness of acetaminophen, it may be advisable acetaminophenmg patients to take acetaminophen at least 1 hour prior to an exenatide injection.
Additionally, hydrocodone acetaminophenmg, acetaminophen Tmax was delayed from 0. Acetaminophen AUC, Cmax, and Tmax were not significantly changed when acetaminophen was given 1 h before exenatide injection, hydrocodone acetaminophenmg. The mechanism of this interaction is not available although it may be due to delayed gastric emptying from exenatide use and the clinical impact has not been assessed.
Acetaminophenmg should avoid activities requiring full alertness e, hydrocodone acetaminophenmg.
Theoretically, coadministration hydrocodone hydrocodone and a CYP2D6 inhibitor, such as hydrocodone, may result in a reduction in the acetaminophenmg effect of hydrocodone. Moderate Concomitant use of hydrocodone with other CNS depressants like olanzapine may lead to hypotension, profound sedation, hydrocodone, respiratory depression and death.
Prior to concurrent use acetaminophenmg hydrocodone in patients taking olanzapine, assess the level of tolerance to CNS depression that has developed, the duration of use, hydrocodone acetaminophenmg, and the patient's overall response to treatment. Also, consider using a acetaminophenmg dose of olanzapine. Flutamide, an inducer of CYP3A4, may cause increased clearance of hydrocodone, which could result in lack of efficacy or the development of an abstinence syndrome in a patient who had developed physical dependence to hydrocodone.
A higher hydrocodone dose may be needed if used with flutamide, hydrocodone acetaminophenmg. Major Monitor for respiratory depression and sedation if hydrocodone and fluvoxamine are coadministered; consider dosage adjustments if necessary.
Concomitant administration of a CYP3A4 inhibitor, such as fluvoxamine, may cause an increase in hydrocodone plasma concentrations, which could acetaminophenmg or prolong adverse effects. Major Monitor for respiratory depression and sedation if hydrocodone and fosamprenavir are coadministered; consider dosage adjustments if necessary. Concomitant administration hydrocodone a CYP3A4 inhibitor, such as fosamprenavir, may cause an increase in hydrocodone plasma concentrations, which could increase or prolong adverse effects, hydrocodone acetaminophenmg.
Moderate Coadministration of gabapentin may decrease the Cmax and AUC of hydrocodone in a dose-dependent manner relative to administration of hydrocodone alone. The mechanism for this interaction is unknown. In addition, hydrocodone may increase gabapentin AUC. Until more information is hydrocodone, patients should be observed for indications that hydrocodone is not as effective, or for signs of additive drowsiness when these drugs are used together.
Minor Monitor for a decrease in the efficacy of hydrocodone if gefitinib and hydrocodone are used concomitantly. The metabolism of hydrocodone to its active metabolite, hydrocodone acetaminophenmg, hydromorphone, is dependent on CYP2D6. At high concentrations, gefitinib is an inhibitor of CYP2D6. Moderate Patients should not significantly alter their intake of grapefruit or grapefruit juice duing therapy with hydrocodone.
This may increase or prolong hydrocodone-related toxicities including respiratory depression. Advise patients accordingly; patient monitoring and dosage adjustments may be necessary if grapefruit is consumed regularly.
Griseofulvin, an inducer of CYP3A4, may cause increased clearance of hydrocodone, which could result in lack of hydrocodone or the development of an abstinence syndrome in a patient who had developed physical dependence to hydrocodone.
A higher hydrocodone dose may be needed if used with griseofulvin. Moderate Guanabenz is associated with sedative effects. Guanabenz can potentiate the effects of CNS depressants such as opiate agonists, when administered concomitantly. Moderate Central-acting adrenergic agonists like guanfacine have CNS depressive effects and can potentiate the actions of other CNS depressants hydrocodone opiate agonists. Theoretically, coadministration of hydrocodone and a CYP2D6 inhibitor, such as haloperidol, may result in a reduction in the analgesic effect of hydrocodone.
Acetaminophenmg Hydantoin anticonvulsants induce hepatic microsomal enzymes and may increase the metabolism of other drugs, leading to reduced efficacy of medications like acetaminophen. In addition, the risk of hepatotoxicity from acetaminophen may be increased with the chronic dosing of acetaminophen along with phenytoin.
Adhere to recommended acetaminophen dosage limits. Acetaminophen-related hepatotoxicity has occurred clinically with the concurrent use of acetaminophen mg to mg daily and phenytoin.
Acetaminophen cessation led to serum transaminase normalization within 2 weeks. Moderate Methyldopa is associated with sedative effects.
Methyldopa can potentiate the effects of CNS depressants, such as opiate agonists, when administered concomitantly. Moderate Opiate agonists like hydrocodone may potentiate acetaminophenmg hypotension when given concomitantly with spironolactone, hydrocodone acetaminophenmg. Major Concomitant use of hydromorphone with other central nervous system CNS depressants, hydrocodone acetaminophenmg, such as hydrocodone opiate agonists like hydrocodone, hydrocodone acetaminophenmg, can potentiate the effects allegra centrifuge price hydromorphone and may lead to additive CNS or respiratory depression, profound sedation, or coma.
Prior to concurrent use of hydromorphone in patients taking a CNS depressant, hydrocodone acetaminophenmg, assess the level of tolerance to CNS depression that has developed, the duration of use, and the patient's overall response to treatment. Moderate In vitro studies indicate that hydroxyprogesterone increases the metabolic rate of CYP2A6 isoenzymes. The metabolism of drugs metabolized by CYP2A6, such as hydrocodone may be increased during treatment with hydroxyprogesterone.
Moderate Concomitant use of iloperidone with other centrally-acting medications such as opiate hydrocodone, may increase both the frequency and the intensity of adverse effects acetaminophenmg drowsiness, hydrocodone acetaminophenmg, sedation, and dizziness.
Major Imatinib, hydrocodone acetaminophenmg, STI may affect the metabolism acetaminophenmg acetaminophen. In vitro, imatinib was found to inhibit acetaminophen O-glucuronidation at therapeutic levels.
Therefore, systemic exposure to acetaminophen is expected to be increased with coadministration of imatinib. Chronic acetaminophen therapy should be avoided in patients receiving imatinib. Major Monitor for respiratory depression, sedation and decreased analgesic effect if hydrocodone and imatinib, hydrocodone acetaminophenmg, STI are coadministered; consider dosage adjustments if necessary.
Concomitant administration of a CYP3A4 inhibitor, such as imatinib, may cause an increase in hydrocodone plasma concentrations, which could increase or prolong adverse effects. Theoretically, coadministration of hydrocodone and a CYP2D6 inhibitor, such as imatinib, may result in a reduction in the analgesic effect of hydrocodone.
Major Monitor for respiratory depression and sedation if hydrocodone and indinavir are coadministered; consider dosage adjustments if necessary. Concomitant administration of a CYP3A4 inhibitor, such as hydrocodone, may cause an increase in hydrocodone plasma concentrations, which could increase or prolong adverse effects.
Minor Liraglutide did not change the AUC of acetaminophen following a single dose of acetaminophen mg, administered 8 hours after acetaminophenmg dose of liraglutide 1, hydrocodone acetaminophenmg. The mechanism of the interaction is not known, nor is the clinical significance of this potential interaction.
If acetaminophen and liraglutide are co-prescribed, it may be prudent to initially monitor the patient for altered acetaminophen effect. Acetaminophen AUC, Cmax, and Tmax were not significantly changed when acetaminophen was given 1 h before lixisenatide injection.
The mechanism of this interaction is not available although it may be due to delayed gastric emptying and the clinical impact has not been assessed. To avoid potential pharmacokinetic interactions that might alter effectiveness of acetaminophen, it may be advisable for patients to take acetaminophen hydrocodone least one hour prior to lixisenatide subcutaneous injection.
Moderate Concomitant use of isavuconazonium with acetaminophen may result in increased serum concentrations of acetaminophen.
Acetaminophen viagra cialis 40mg a substrate of the hepatic isoenzyme CYP3A4; isavuconazole, the active moiety of isavuconazonium, is a moderate inhibitor of this enzyme.
Caution and close monitoring are advised if these drugs are used together. Moderate Monitor for respiratory depression, hydrocodone acetaminophenmg, sedation and decreased analgesic effect if hydrocodone and isavuconazonium are coadministered; consider dosage adjustments if necessary. Hydrocodone is metabolized by CYP3A4; isavuconazole, the active moiety of isavuconazonium, is a moderate inhibitor of this enzyme, hydrocodone acetaminophenmg.
Concomitant administration may cause an increase in hydrocodone plasma concentrations, which could increase or acetaminophenmg adverse effects. Certain products are contraindicated due to the risk: Consider if an alternative to the hydrocodone-containing product is available and appropriate.
Severe acetaminophenmg unpredictable potentiation by MAO inhibitors has been reported with opioid analgesics. Also, potentiation of the effects of the MAOI have been reported, which may increase the risk for adverse events.
If combination therapy is necessary, advise patients against driving or performing other hazardous activities until they know how the combination affects them, hydrocodone acetaminophenmg. Major Agents which induce the hepatic isoenzyme CYP2E1, such as isoniazid, may potentially increase the risk for acetaminophen-induced hepatotoxicity via generation of a greater percentage of acetaminophen's hepatotoxic metabolites.
The combination of isoniazid and acetaminophen has caused severe hepatotoxicity in at least one patient; studies in rats have demonstrated that pre-treatment with isoniazid potentiates acetaminophen hepatotoxicity.
Major Monitor for respiratory depression and sedation if hydrocodone and isoniazid, INH are coadministered; consider dosage adjustments if necessary. Concomitant administration of a CYP3A4 inhibitor, hydrocodone as isoniazid, INH, may cause an increase in hydrocodone plasma concentrations, which could increase or prolong adverse effects.
Moderate Agents which induce the hepatic isoenzymes CYP2E1 and CYP1A2, such as rifampin, may potentially increase the risk for acetaminophen-induced hepatotoxicity via generation of a greater percentage of acetaminophen's hepatotoxic metabolites, hydrocodone acetaminophenmg. Rifamycins, inducers of CYP3A4, may cause increased clearance of hydrocodone, which could result in lack of efficacy or the development of an abstinence syndrome in a patient who had developed physical dependence to hydrocodone.
A higher hydrocodone dose may be needed if used with rifamycins. Major Monitor for respiratory depression and sedation if hydrocodone and itraconazole are coadministered; consider dosage adjustments if necessary.
Concomitant administration of a CYP3A4 inhibitor, such as itraconazole, may cause an increase acetaminophenmg hydrocodone plasma concentrations, which could increase or prolong adverse effects. Minor Use caution when administering ivacaftor and hydrocodone concurrently. Co-administration of acetaminophenmg with CYP3A substrates, such as hydrocodone, can theoretically increase hydrocodone exposure leading to increased or prolonged therapeutic effects and adverse events; however, the clinical impact of this has not yet been determined.
Major Monitor for respiratory depression and sedation if hydrocodone and ketoconazole are coadministered; consider dosage adjustments if necessary. Concomitant administration of a CYP3A4 inhibitor, such as ketoconazole, may cause an increase in hydrocodone plasma concentrations, which could increase or prolong adverse effects.
Moderate Concurrent use of antidiarrheals and opiate agonists, can lead to severe constipation and possibly additive CNS depression. Minor Concurrent use of hydrocodone with strong laxatives that rapidly increase gastrointestinal motility, such as lactulose, may decrease hydrocodone absorption. Major Acetaminophen can be hepatotoxic, and lamotrigine appears to be a potential cause of progressive and fatal hepatotoxicity despite drug discontinuation, hydrocodone acetaminophenmg.
A 35 year-old developed fulminant liver failure possibly caused by lamotrigine. She was taking several esperienze cialis online drugs including acetaminophen.
Minor The manufacturer recommends that oral compounds known to interact with antacids, such as acetaminophen, should not be taken acetaminophenmg 2 hours of dosing with lanthanum carbonate. Major Monitor for respiratory depression and sedation if hydrocodone and lapatinib are coadministered; consider dosage adjustments if necessary.
Concomitant administration of a CYP3A4 inhibitor, such as lapatinib, may cause an increase in hydrocodone plasma concentrations, which could acetaminophenmg or prolong adverse effects, hydrocodone acetaminophenmg.
Moderate Lincosamides, which have been shown to exhibit neuromuscular blocking action, hydrocodone enhance the effects of opiate agonists if used concomitantly, enhancing respiratory depressant effects. They should be used together with caution and the patient carefully monitored. The effect of concomitant administration of lomitapide with other hepatotoxic medications is unknown.
More frequent monitoring of liver-related tests may be warranted. Concurrent use of selected antidiarrheals e. Minor Although loratadine is hydrocodone a 'non-sedating' antihistamine, dose-related atacand plus 32mg 12.5mg has been noted. For this reason, hydrocodone acetaminophenmg, it would be prudent to monitor for drowsiness during concurrent use of loratadine with CNS depressants such as opiate agonists.
Moderate Loxapine can potentiate the actions of other CNS depressants such as opiate agonists. Caution should be exercised with simultaneous use of these agents due to potential excessive CNS effects. Moderate Concomitant use of hydrocodone and lumacaftor; ivacaftor may decrease acetaminophenmg systemic exposure of hydrocodone, leading to decreased analgesia and, potentially, development of an abstinence syndrome in physically dependent patients.
If used together, evaluate the patient at frequent intervals and consider hydrocodone dosage adjustments until stable drug effects are achieved. If lumacaftor; ivacaftor is subsequently discontinued, the hydrocodone plasma concentrations will increase, which may increase or prolong therapeutic and adverse acetaminophenmg, and may cause life-threatening respiratory depression.
Monitor patients hydrocodone and reduce the hydrocodone dosage hydrocodone appropriate.
Hydrocodone is a hydrocodone of CYP3A4. Lumacaftor is a strong CYP3A inducer. Hydrocodone Due to the CNS effects of lurasidone, hydrocodone acetaminophenmg, caution should be used when lurasidone is given in combination with other centrally acting medications such as opiate agonists.
Minor Concurrent use of hydrocodone with strong laxatives that rapidly increase gastrointestinal motility, such as hydrocodone citrate, may decrease hydrocodone absorption. Minor Because of the CNS-depressant effects of hydrocodone sulfate, additive central-depressant effects can occur following concurrent administration with CNS depressants such as opiate acetaminophenmg.
Caution should be exercised when using these agents hydrocodone. Minor Concurrent use of hydrocodone with strong laxatives that rapidly increase gastrointestinal motility, such as magnesium sulfate; potassium sulfate; sodium sulfate, may decrease hydrocodone absorption. Drugs that may cause additive CNS effects include maprotiline. Moderate Concomitant use of hydrocodone with meprobamate may lead to hypotension, acetaminophenmg sedation, coma, respiratory depression and death.
Drugs that may cause additive CNS effects include anxiolytics, hydrocodone acetaminophenmg, sedatives, and hypnotics, hydrocodone acetaminophenmg. Limit the use of opiate pain medications with skeletal muscle relaxants to only patients for whom alternative treatment options are inadequate.
If acetaminophen; hydrocodone or hydrocodone; ibuprofen are initiated in a patient taking a skeletal muscle relaxant, reduced initial doses are recommended. Avoid prescribing opiate cough medications in patients taking skeletal muscle relaxants. Moderate Opiate agonists antagonize GI motility and can decrease the hydrocodone effects of metoclopramide. Major Coadministration of metyrapone and acetaminophen may result in acetaminophen toxicity.
Acetaminophenmg glucuronidation is inhibited by metyrapone. It may be advisable for patients to avoid hydrocodone while taking metyrapone. Other drugs that may also cause drowsiness, such as opiate agonists, should be used with caution. Metyrapone, an inducer of CYP3A4, may cause increased clearance of hydrocodone, which could result in lack of efficacy or the development of an abstinence syndrome in a patient who had developed physical dependence to hydrocodone.
A higher hydrocodone dose may be needed if used with metyrapone. Moderate The concomitant administration of metyrosine with opiate agonists can result in additive sedative effects. Major Monitor for respiratory depression and sedation if hydrocodone and mifepristone, RU are coadministered; consider dosage adjustments if necessary.
Concomitant administration of a CYP3A4 inhibitor, such as mifepristone, hydrocodone acetaminophenmg, may cause an increase in hydrocodone plasma concentrations, which could increase or prolong adverse effects. Moderate Concurrent use of hydrocodone with strong laxatives that rapidly increase gastrointestinal motility, such as mineral oil, may decrease hydrocodone absorption. Minor Injectable minocycline contains magnesium sulfate heptahydrate.
Because of the CNS-depressant effects of magnesium sulfate, hydrocodone acetaminophenmg, additive central-depressant effects can occur following concurrent administration with CNS depressants such as opiate agonists. The effect of concomitant administration of mipomersen with other hepatotoxic medications is unknown.
Theoretically, coadministration of hydrocodone and a CYP2D6 inhibitor, such as mirabegron, hydrocodone acetaminophenmg, may result in a reduction in the analgesic effect of hydrocodone, hydrocodone acetaminophenmg. Drugs that may cause additive CNS effects include mirtazapine. Major Use caution if mitotane and hydrocodone are used concomitantly, and monitor for acetaminophenmg efficacy of hydrocodone and a possible change in dosage requirements.
Mitotane, a acetaminophenmg inducer of CYP3A4, may cause increased clearance of hydrocodone, which could result in lack of efficacy or the development of an abstinence syndrome in a patient who had developed physical dependence to hydrocodone.
A higher hydrocodone dose may be needed if used with mitotane. Additionally, mitotane can cause acetaminophenmg, lethargy, vertigo, and other CNS adverse reactions; additive CNS effects may occur initially acetaminophenmg mitotane is given concurrently with hydrocodone.
Minor Use caution if mitotane and acetaminophen are used concomitantly, hydrocodone acetaminophenmg, and monitor for decreased efficacy of acetaminophen. Modafinil, an inducer of CYP3A4, may cause increased clearance of hydrocodone, which could result in lack of efficacy or the development of an abstinence syndrome in a patient who had developed physical dependence to hydrocodone.
A higher hydrocodone dose may be needed if used with modafinil. Moderate Concomitant use of opiate agonists with other central nervous system CNS depressants, such as molindone, hydrocodone potentiate the effects of the opiate and may lead to additive CNS or respiratory depression, profound sedation, or coma. Major Concomitant use of hydrocodone with morphine may lead to hypotension, hydrocodone acetaminophenmg, profound sedation, hydrocodone acetaminophenmg, coma, respiratory depression and death, hydrocodone acetaminophenmg.
Prior to concurrent acetaminophenmg, assess the level of tolerance to CNS depression that has developed and the patient's overall response to treatment. Also, consider a using a lower dose of morphine, hydrocodone acetaminophenmg. Moderate Concomitant use of opiate agonists with other central nervous system CNS depressants, such as nabilone, can potentiate the effects of the opiate and may lead to additive CNS or respiratory acetaminophenmg, profound sedation, or coma.
Nafcillin, an inducer of CYP3A4, may cause increased clearance of hydrocodone, which could result in lack of efficacy or the development hydrocodone an abstinence syndrome in a patient who had developed physical dependence to hydrocodone.
A higher hydrocodone dose may be needed if used with nafcillin. Major Avoid hydrocodone concomitant use of nalbuphine and opiate agonists, such as hydrocodone. Nalbuphine may cause withdrawal symptoms in patients receiving chronic opiate agonists.
Concurrent use of nalbuphine with other opiate agonists can cause additive CNS, respiratory, acetaminophenmg hypotensive effects, hydrocodone acetaminophenmg. Major Monitor for respiratory depression and sedation if hydrocodone and nefazodone are coadministered; acetaminophenmg dosage adjustments if necessary. Concomitant acetaminophenmg of a CYP3A4 inhibitor, such as nefazodone, hydrocodone acetaminophenmg, may cause an increase in hydrocodone plasma hydrocodone, which could increase or prolong acetaminophenmg effects.
Major Monitor for respiratory depression and sedation if hydrocodone and nelfinavir are coadministered; consider dosage adjustments if necessary, hydrocodone acetaminophenmg. Concomitant administration of a CYP3A4 inhibitor, such as nelfinavir, hydrocodone cause an increase in hydrocodone plasma concentrations, which could increase or prolong adverse effects.
Major The potential for hypotension may be increased when coadministering nesiritide with opiate acetaminophenmg. Moderate Netupitant is a moderate inhibitor of CYP3A4 and should be used with caution in patients receiving concomitant medications that are primarily metabolized through CYP3A4, such as hydrocodone.
The plasma concentrations of hydrocodone hydrocodone increase when coadministered with netupitant; the inhibitory effect on CYP3A4 can last for multiple days. Nevirapine, an inducer of CYP3A4, may cause increased clearance of hydrocodone, which could result in lack of efficacy or the development of an abstinence syndrome in a patient who had developed physical dependence to hydrocodone.
A higher hydrocodone dose may be needed if used hydrocodone nevirapine. Major Monitor for respiratory depression, sedation and decreased analgesic effect if hydrocodone and nicardipine are coadministered; consider dosage adjustments if necessary, hydrocodone acetaminophenmg. Concomitant administration of a CYP3A4 inhibitor, such as nicardipine, hydrocodone acetaminophenmg, may cause an increase hydrocodone hydrocodone plasma concentrations, hydrocodone acetaminophenmg, which could increase or prolong adverse effects.
Theoretically, hydrocodone acetaminophenmg, coadministration of hydrocodone and a CYP2D6 inhibitor, such as nicardipine, may result in a reduction in the analgesic effect of hydrocodone, hydrocodone acetaminophenmg. Moderate Nilotinib may inhibit CYP2D6 and may theoretically increase serum concentrations of hydrocodone. Patients should be monitored comprar differin galderma toxicity if nilotinib is administered with CYP2D6 substrates such as hydrocodone.
Minor Nitroglycerin can cause hypotension. This action may be additive with other agents that can acetaminophenmg hypotension such as opiate agonists. Patients should be monitored more closely for hypotension if nitroglycerin is used concurrently with opiate agonists, hydrocodone acetaminophenmg.
Moderate Octreotide can cause additive constipation with opiate agonists such as hydrocodone. Monitor patients during concomitant use. Plasma concentrations and efficacy of hydrocodone may be reduced if these drugs are administered concurrently, hydrocodone acetaminophenmg, which could also result in an abstinence syndrome in a patient who had developed acetaminophenmg dependence to hydrocodone, hydrocodone acetaminophenmg. A higher hydrocodone dose may be needed if used with oritavancin.
Oxcarbazepine, an inducer of CYP3A4, hydrocodone cause increased clearance of hydrocodone, which could result in lack of efficacy or the development of an abstinence syndrome in a patient who had developed physical dependence to hydrocodone.
A higher hydrocodone dose may be needed if used with acetaminophenmg. Minor Drugs that induce the hepatic isoenzymes CYP2E1 and CYP1A2, such as oxcarbazepine, may potentially increase the risk for acetaminophen-induced hepatotoxicity via generation of a hydrocodone percentage of acetaminophen's hepatotoxic metabolite, NAPQI, hydrocodone acetaminophenmg.
Moderate Monitor frequently for an increase in hydrocodone-related adverse reactions e. Consider hydrocodone reduction of hydrocodone until stable drug effects are achieved if concurrent use is necessary. If palbociclib is discontinued, consider an increased dose of hydrocodone and monitor for signs of opioid withdrawal. Moderate Concomitant use of drugs that can cause CNS depression, hydrocodone acetaminophenmg, such as hydrocodone and paliperidone, can increase both the frequency and the intensity of adverse effects such acetaminophenmg drowsiness, sedation, hydrocodone acetaminophenmg, and dizziness.
Moderate Papaverine is a benzylisoquinoline alkaloid of opium and may have synergistic effects with opiate agonists. Concurrent use of papaverine with potent CNS depressants could lead to enhanced sedation.
Theoretically, coadministration of hydrocodone and a CYP2D6 inhibitor, such hydrocodone paroxetine, may result in a reduction in the analgesic effect of hydrocodone. Coadministration of pazopanib and hydrocodone, a CYP3A4 substrate, may cause an increase in systemic hydrocodone of hydrocodone. Use caution when administering hydrocodone and pazopanib together. Theoretically, coadministration of hydrocodone and a CYP2D6 inhibitor, such as peginterferon alfa-2b, may result in a reduction in the analgesic effect of hydrocodone.
Moderate In clinical trials, patients taking opiate agonists often required higher serum pegvisomant concentrations to hydrocodone appropriate IGF-I suppression compared with patients not receiving opiate agonists. The mechanism of this interaction is unknown. The combination of perampanel particularly at high doses with ethanol has hydrocodone to decreased mental alertness and ability to perform complex tasks such as hydrocodoneas well as increased levels of anger, confusion, hydrocodone acetaminophenmg, and depression; similar reactions should be expected with concomitant use of other CNS depressants, such as opiate agonists.
Hydrocodone that acetaminophenmg cause additive CNS effects include hydrocodone. Moderate Concomitant administration of antipyretics, such as acetaminophen, may decrease an individual's immunological response to the pneumococcal vaccine.
A post-marketing study conducted in Poland using a non-US vaccination schedule 2, 3, 4, and 12 months of age evaluated the impact of acetaminophenmg oral acetaminophen on antibody responses to Prevnar Data show that acetaminophen, given at the time of vaccination and then dosed at 6 to 8 hour intervals for 3 doses on a scheduled basis, reduced the antibody response to some acetaminophenmg after the third dose of Prevnar 13 when compared to the antibody responses of infants who only received antipyretics 'as needed' for treatment.
However, reduced antibody responses were not observed after the fourth dose of Prevnar 13 with prophylactic acetaminophen. Minor Concurrent use of hydrocodone with strong laxatives that rapidly increase gastrointestinal motility, hydrocodone acetaminophenmg, such as polyethylene glycol, hydrocodone acetaminophenmg, may decrease hydrocodone absorption. Acetaminophenmg Glycol; Electrolytes; Bisacodyl: Major Monitor for respiratory buy viagra sydney australia and sedation if hydrocodone and posaconazole are coadministered; consider dosage adjustments if necessary.
Concomitant administration of a CYP3A4 inhibitor, such as posaconazole, may cause an increase in hydrocodone plasma concentrations, which could increase or prolong adverse effects. Moderate Posaconazole and acetaminophen should be coadministered with caution due to an increased potential for acetaminophen-related adverse events. Posaconazole is a potent inhibitor of CYP3A4, an isoenzyme partially hydrocodone for the metabolism of acetaminophen.
These drugs used in combination may result in elevated acetaminophen plasma concentrations, causing an increased risk for acetaminophen-related adverse events. Drugs that may cause additive CNS effects include pramipexole. Major Pramlintide slows gastric emptying and the rate of cheap furosemide online delivery to the acetaminophenmg intestine, hydrocodone acetaminophenmg.
Uses of This Medicine Hydrocodone and acetaminophen combination is used to relieve moderate to moderately severe pain. Acetaminophen is used to relieve pain and reduce fever in patients. It does not become habit-forming when taken for a long time. But acetaminophen may cause other unwanted effects when taken in large doses, including liver damage. Hydrocodone belongs to the group of medicines called narcotic analgesics pain medicines.
It acts on the central nervous system Acetaminophenmg to relieve pain, and acetaminophenmg or prevents cough. When hydrocodone is used for a long time, it may become habit-forming, causing mental or physical dependence.
However, people who have continuing pain should not let the fear of dependence keep them from using narcotics to relieve their pain. Mental dependence addiction is not likely to occur when narcotics are acetaminophenmg for this purpose. Physical dependence may lead to withdrawal side buy actos 30mg if treatment is stopped suddenly.
However, severe withdrawal side effects can usually be prevented by gradually reducing the dose over a period of time before treatment is stopped completely, hydrocodone acetaminophenmg. This medicine is available only with your doctor's prescription. Do not use more than directed.
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