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Fiorinal with Codeine and Adrenal insufficiency

Result of checking the interaction of drug Fiorinal with Codeine and disease Adrenal insufficiency for safety when used together.

Check result:

Fiorinal with Codeine <> Adrenal insufficiency

Relevance: 23.07.2019 Reviewer: Shkutko P.M., M.D., in

When checking interaction based on authoritative sources Drugs.com, Rxlist.com, Webmd.com, Medscape.com there are contraindications or side effects that may cause harm or increase the negative effect from drug use in presence of concomitant diseases.

Consumer:

Barbiturates, especially phenobarbital, secobarbital and butabarbital, may diminish the systemic effects of exogenous and endogenous corticosteroids via induction of hepatic microsomal enzymes, thereby accelerating the metabolism of corticosteroids. In addition, barbiturates may interfere with pituitary corticotropin production. Therapy with barbiturates should be administered cautiously in patients with adrenal insufficiency. Patients with borderline hypoadrenalism should be monitored closely, and patients receiving steroid supplementation may require an adjustment in dosage when barbiturates are added to or withdrawn from their medication regimen.

References:

"Product Information. Seconal Sodium (secobarbital)" Lilly, Eli and Company, Indianapolis, IN.
"Product Information. Nembutal Sodium (pentobarbital)" Abbott Pharmaceutical, Abbott Park, IL.
"Product Information. Butisol Sodium (butabarbital)" Wallace Laboratories, Cranbury, NJ.
"Product Information. Amytal Sodium (amobarbital)" Lilly, Eli and Company, Indianapolis, IN.
"Product Information. Phenobarbital (phenobarbital)." Lilly, Eli and Company, Indianapolis, IN.
"Product Information. Mebaral (mephobarbital)" Sanofi Winthrop Pharmaceuticals, New York, NY.

Fiorinal with Codeine

Generic Name: aspirin / butalbital / caffeine / codeine

Brand Name: Ascomp with Codeine, Fiorinal with Codeine, Fiortal with Codeine, Ascomp-Codeine, Fiorinal/Codeine #3

Synonyms: n.a.

What is Fiorinal with Codeine?

Another drug Delete

Fiorinal with Codeine <> Adrenal insufficiency

Relevance: 23.07.2019 Reviewer: Shkutko P.M., M.D., in

Consumer:

Patients with Addison's disease may have increased risk of respiratory depression and prolonged CNS depression associated with the use of narcotic (opioid) analgesic agents. Conversely, these agents may cause or potentiate adrenal insufficiency. Therapy with opioids should be administered cautiously and initiated at reduced dosages in patients with adrenocortical insufficiency. Subsequent doses should be titrated based on individual response rather than a fixed dosing schedule.

References:

"Product Information. Orlaam (levomethadyl acetate)" Roxanne Laboratories Inc, Columbus, OH.
"Product Information. Roxanol (morphine)." Roxane Laboratories Inc, Columbus, OH.
"Product Information. Fentanyl Oralet (fentanyl)." Abbott Pharmaceutical, Abbott Park, IL.
"Product Information. OxyContin (oxycodone)." Purdue Frederick Company, Norwalk, CT.
"Product Information. Calcidrine (codeine)." Abbott Pharmaceutical, Abbott Park, IL.
"Product Information. Alfenta (alfentanil)." Janssen Pharmaceutica, Titusville, NJ.
"Product Information. Dalgan (dezocine)." Astra USA, Westborough, MA.
"Product Information. Darvon (propoxyphene)." Lilly, Eli and Company, Indianapolis, IN.
"Product Information. Dolophine (methadone)." Lilly, Eli and Company, Indianapolis, IN.
"Product Information. Vicoprofen (hydrocodone-ibuprofen)." Knoll Pharmaceutical Company, Whippany, NJ.
"Product Information. Kadian (morphine)." Zeneca Pharmaceuticals, Wilmington, DE.
"Product Information. Ultiva (remifentanil)." Mylan Institutional (formally Bioniche Pharma USA Inc), Canonsburg, PA.
"Product Information. Opium Tincture (opium)" Lilly, Eli and Company, Indianapolis, IN.
"Product Information. Numorphan (oxymorphone)" Endo Laboratories LLC, Chadds Ford, PA.
"Product Information. Dilaudid (hydromorphone)." Knoll Pharmaceutical Company, Whippany, NJ.
"Product Information. Levo-Dromoran (levorphanol)." Roche Laboratories, Nutley, NJ.
"Product Information. Sublimaze (fentanyl)." Janssen Pharmaceutica, Titusville, NJ.
"Product Information. Stadol (butorphanol)." Allscrips Pharmaceutical Company, Vernon Hills, IL.
"Product Information. Demerol (meperidine)." Sanofi Winthrop Pharmaceuticals, New York, NY.
Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. "Harrison's Principles of Internal Medicine. 14th ed." New York, NY: McGraw-Hill Health Professionals Division (1998):
"Product Information. Stadol (butorphanol nasal)." Bristol-Myers Squibb, Princeton, NJ.
"Product Information. Duragesic Transdermal System (fentanyl)." Janssen Pharmaceutica, Titusville, NJ.
"Product Information. Buprenex (buprenorphine)." Reckitt and Colman Pharmaceutical, Richmond, VA.
"Product Information. Nubain (nalbuphine)." Endo Laboratories, Texarkana, TX.
"Product Information. Talwin NX (pentazocine)." Sanofi Winthrop Pharmaceuticals, New York, NY.
"Product Information. Sufenta (sufentanil)." Janssen Pharmaceutica, Titusville, NJ.