Drug Interaction Report
4 potential interactions and/or warnings found for the following 5 drugs:
- Lexapro (escitalopram)
- Preparation H Suppositories (phenylephrine topical)
- Preparation H Maximum Strength (glycerin / petrolatum / phenylephrine / pramoxine topical)
- Preparation H Rapid Relief with Lidocaine Cream (glycerin / lidocaine / petrolatum / phenylephrine topical)
- Preparation H Rapid Relief With Lidocaine Totables (glycerin / lidocaine / phenylephrine topical)
Interactions between your drugs
No drug ⬌ drug interactions were found between the drugs in your list. However, this does not necessarily mean no drug interactions exist. Always consult your healthcare provider.
Drug and food interactions
escitalopram food
Applies to: Lexapro (escitalopram)
GENERALLY AVOID: Alcohol may potentiate some of the pharmacologic effects of CNS-active agents. Use in combination may result in additive central nervous system depression and/or impairment of judgment, thinking, and psychomotor skills.
MANAGEMENT: Patients receiving CNS-active agents should be warned of this interaction and advised to avoid or limit consumption of alcohol. Ambulatory patients should be counseled to avoid hazardous activities requiring complete mental alertness and motor coordination until they know how these agents affect them, and to notify their physician if they experience excessive or prolonged CNS effects that interfere with their normal activities.
References (4)
- Warrington SJ, Ankier SI, Turner P (1986) "Evaluation of possible interactions between ethanol and trazodone or amitriptyline." Neuropsychobiology, 15, p. 31-7
- Gilman AG, eds., Nies AS, Rall TW, Taylor P (1990) "Goodman and Gilman's the Pharmacological Basis of Therapeutics." New York, NY: Pergamon Press Inc.
- (2012) "Product Information. Fycompa (perampanel)." Eisai Inc
- (2015) "Product Information. Rexulti (brexpiprazole)." Otsuka American Pharmaceuticals Inc
Therapeutic duplication warnings
Therapeutic duplication is the use of more than one medicine from the same drug category or therapeutic class to treat the same condition. This can be intentional in cases where drugs with similar actions are used together for demonstrated therapeutic benefit. It can also be unintentional in cases where a patient has been treated by more than one doctor, or had prescriptions filled at more than one pharmacy, and can have potentially adverse consequences.
Topicals
Therapeutic duplication
The recommended maximum number of medicines in the 'topicals' category to be taken concurrently is usually three. Your list includes four medicines belonging to the 'topicals' category:
- Preparation H Suppositories (phenylephrine topical)
- Preparation H Maximum Strength (glycerin / petrolatum / phenylephrine / pramoxine topical)
- Preparation H Rapid Relief with Lidocaine Cream (glycerin / lidocaine / petrolatum / phenylephrine topical)
- Preparation H Rapid Relief With Lidocaine Totables (glycerin / lidocaine / phenylephrine topical)
Note: In certain circumstances, the benefits of taking this combination of drugs may outweigh any risks. Always consult your healthcare provider before making changes to your medications or dosage.
Mucous membrane preparations
Therapeutic duplication
The recommended maximum number of medicines in the 'mucous membrane preparations' category to be taken concurrently is usually two. Your list includes four medicines belonging to the 'mucous membrane preparations' category:
- Preparation H Suppositories (phenylephrine topical)
- Preparation H Maximum Strength (glycerin / petrolatum / phenylephrine / pramoxine topical)
- Preparation H Rapid Relief with Lidocaine Cream (glycerin / lidocaine / petrolatum / phenylephrine topical)
- Preparation H Rapid Relief With Lidocaine Totables (glycerin / lidocaine / phenylephrine topical)
Note: In certain circumstances, the benefits of taking this combination of drugs may outweigh any risks. Always consult your healthcare provider before making changes to your medications or dosage.
Mucous membrane analgesics
Therapeutic duplication
The recommended maximum number of medicines in the 'mucous membrane analgesics' category to be taken concurrently is usually one. Your list includes four medicines belonging to the 'mucous membrane analgesics' category:
- Preparation H Suppositories (phenylephrine topical)
- Preparation H Maximum Strength (glycerin / petrolatum / phenylephrine / pramoxine topical)
- Preparation H Rapid Relief with Lidocaine Cream (glycerin / lidocaine / petrolatum / phenylephrine topical)
- Preparation H Rapid Relief With Lidocaine Totables (glycerin / lidocaine / phenylephrine topical)
Note: In certain circumstances, the benefits of taking this combination of drugs may outweigh any risks. Always consult your healthcare provider before making changes to your medications or dosage.
Drug Interaction Classification
| Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
| Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
| Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. | |
| No interaction information available. |
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Further information
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