Phenergan with codeine vc

Although no data are available, pseudoephedrine should be used cautiously in patients using significant quantities of other sympathomimetics. In addition, promethazine exhibits anticholinergic properties that could potentially interfere with the cholinesterase inhibitor activity of donepezil. MAOIs may cause additive CNS depression, respiratory depression, drowsiness, dizziness, or hypotension when used with opiate agonists such as codeine. Salmeterol: (Major) Caution and close observation should also be used when salmeterol is used concurrently with other adrenergic sympathomimetics, administered by any route, to avoid potential for increased soma cashmere slippers cardiovascular effects. Codeine, phenylephrine, and promethazine should never be given to another person, especially someone who has a history of drug abuse or addiction. Prior to concurrent use, assess the level of tolerance to CNS depression that has developed, provigil add dosage the duration of use, and the patient's overall response to treatment. An enhanced CNS depressant effect may occur when carbetapentane is combined with other CNS depressants including morphine. Epinephrine phenergan with codeine vc and other sympathomimetics, through stimulation of alpha- and beta- receptors, increase hepatic glucose production and glycogenolysis and inhibit insulin secretion. The CYP3A4 pathway is an important metabolic clearance route for codeine, and inhibition of this metabolic pathway by CYP3A4 inhibitors, such as azole antifungals, may lead to elevated codeine concentrations that are available for conversion to morphine by CYP2D6. Well-controlled hypertensive patients receiving decongestant sympathomimetics at recommended doses do not appear at high risk for significant elevations in blood pressure, however, increased blood pressure has been reported in some patients. Due to the risk of unopposed alpha-adrenergic activity, sympathomimetics should be used cautiously with beta-blockers. If a benzodiazepine is prescribed for an indication other than epilepsy in a patient taking an opiate agonist, use a lower initial dose of the benzodiazepine and titrate to clinical response. Because promethazine causes phenergan vc with codeine while pregnant pronounced sedation, an enhanced CNS depressant effect or additive drowsiness may occur when it is combined with other CNS depressants including sedating H1-blockers. Therefore, the manufacturer recommends avoiding trazodone in patients receiving other drugs that increase the QT interval. (Moderate) The activity of codeine is due to its conversion to morphine via the CYP2D6 hepatic isoenzyme and therefore its analgesic effectiveness may vary greatly when combined with drugs that potently inhibit CYP2D6, such as fluoxetine. Seizures have been reported in patients receiving monotherapy with both tramadol and promethazine at recommended doses. The additive or antagonistic effects are dependent upon the dose of the opiate agonist used; antagonistic effects are more common at low to moderate doses of the opiate agonist. If an opiate can you take phenergan while nursing agonist is initiated in a patient taking a benzodiazepine, use a lower initial dose of the opiate and titrate to clinical phenergan cough suppressant response. Tipranavir: (Moderate) The CYP3A4 pathway is an important metabolic clearance route for codeine, and inhibition of this metabolic pathway by strong CYP3A4 inhibitors such as the anti-retroviral protease inhibitors may lead to elevated codeine concentrations that are available for conversion to morphine by CYP2D6. After each local anesthetic injection, careful and constant monitoring of ventilation adequacy, cardiovascular vital signs, and the patient's state of consciousness is advised. Although commonly used together for additive analgesic effects, the patient must be monitored for respiratory depression, hypotension, and excessive sedation due to additive effects on the CNS and blood pressure. Prior to concurrent use, assess the level of tolerance to CNS depression that has developed, the duration of use, and the patient's overall response to treatment. Epinephrine and other sympathomimetics, through stimulation of alpha- and beta- receptors, increase hepatic glucose production and glycogenolysis and inhibit insulin secretion. (Moderate) Because promethazine causes pronounced sedation, an enhanced CNS depressant effect or additive drowsiness may occur when it is combined with other CNS depressants including chlorzoxazone. For treatment of cold symptoms, nasal decongestants may be preferable for short term, limited use (1 to 3 days) as an alternative to systemic decongestants in patients taking medications for diabetes. Chlorpheniramine; Guaifenesin; Hydrocodone; Pseudoephedrine: (Major) Concomitant use of hydrocodone with other CNS depressants may lead to hypotension, profound sedation, coma, respiratory depression and death. If you take more than one type at the same time or if you are taking another medicine that also causes drowsiness, you may have more side effects. For treatment of cold symptoms, nasal decongestants may be preferable for short term, limited use (1 to 3 days) as an alternative to systemic decongestants in patients taking medications for diabetes. Drugs with a possible risk for QT prolongation and TdP that phenergan zoloft interactions should be used cautiously and with close monitoring with promethazine include flecainide. Clinicians should note that antimuscarinic effects may be seen not only on GI smooth muscle, phenergan with codeine vc but also on can i give phenergan to my baby bladder function, the eye, and temperature regulation. Ziconotide: (Moderate) Concurrent use of ziconotide and opiate agonists may result in an increased incidence of dizziness and confusion. (Moderate) The therapeutic effect of phenylephrine may be decreased in patients receiving benzodiazepines. Concomitant use may result in an increase in codeine plasma concentrations, resulting in greater metabolism by CYP2D6 and increased morphine concentrations.