Drug Interaction Report

Consumer information for this interaction is not currently available.

MONITOR: Opioids exhibit hypotensive effects, especially during initiation of therapy and dose escalation. Coadministration with diuretics may lead to an increased risk of hypotension. In contrast, opioids may also decrease the efficacy of diuretics as they may trigger the secretion of antidiuretic hormone, although the proposed mechanism for this interaction is unclear and clinical studies are not currently available.

MANAGEMENT: Caution and close monitoring for development of hypotension in addition to decreased diuretic efficacy are advised during coadministration of these agents. Blood pressure should be monitored throughout therapy and dose adjustment of the diuretic should be considered. Patients should be advised to avoid rising abruptly from a sitting or recumbent position and to notify their physician if they experience dizziness, lightheadedness, syncope, orthostasis, or tachycardia. Patients should also avoid driving or operating hazardous machinery until they know how the medications affect them.

Do not use alcohol or medications that contain alcohol while you are receiving treatment with oliceridine. This may increase nervous system side effects such as drowsiness, dizziness, lightheadedness, difficulty concentrating, and impairment in thinking and judgment. In severe cases, low blood pressure, respiratory distress, fainting, coma, or even death may occur. You should also avoid consuming grapefruit and grapefruit juice, as this may increase the blood levels and effects of oliceridine. Talk to your doctor or pharmacist if you have questions on how to take this or other medications you are prescribed. Do not exceed the dose of oliceridine prescribed for you or use the medication more frequently or for a longer duration than prescribed by your doctor. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medication affects you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medication without first talking to your doctor.

Polythiazide and ethanol (alcohol) may have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. These side effects are most likely to be seen at the beginning of treatment, following a dose increase, or when treatment is restarted after an interruption. Let your doctor know if you develop these symptoms and they do not go away after a few days or they become troublesome. Avoid driving or operating hazardous machinery until you know how the medications affect you, and use caution when getting up from a sitting or lying position. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.