Can You Take Trazodone With Methadone? The 9 Top Answers

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The researchers concluded that Trazodone remains popular and is well-tolerated in this population and appears safe in combination with methadone.Do not use trazodone with buspirone (Buspar®), fentanyl (Abstral®, Duragesic®), lithium (Eskalith®, Lithobid®), tryptophan, St. Johns wort, or some pain or migraine medicines (eg, sumatriptan, tramadol, Frova®, Maxalt®, Relpax®, Zomig®).

Interactions that can make your drugs less effective
  • Anticonvulsants, such as phenobarbital, phenytoin, and carbamazepine. These drugs can cause methadone to stop working. …
  • HIV drugs such as abacavir, darunavir, efavirenz, nelfinavir, nevirapine, ritonavir, and telaprevir.

What medications should not be taken with methadone?

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Interactions that can make your drugs less effective
  • Anticonvulsants, such as phenobarbital, phenytoin, and carbamazepine. These drugs can cause methadone to stop working. …
  • HIV drugs such as abacavir, darunavir, efavirenz, nelfinavir, nevirapine, ritonavir, and telaprevir.

What medications enhance methadone?

Examples of drugs that may increase methadone effects and risk overdose symptoms:
  • Ciprofloxacin.
  • Benzodiazepines.
  • Alcohol.
  • Fluconazole.
  • Cimetidine.
  • Fluoxetine.
  • Urine alkalizing agents.

Can methadone be taken with other drugs?

Using methadone with other opioids is extremely dangerous. For instance, a methadone and oxycodone interaction can increase the risk of respiratory depression, hypotension, coma, overdose and death. The same is true for mixing methadone and hydrocodone, heroin or any other known opiates.

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What does methadone react with?

Do not take morphine, buprenorphine, codeine or any other opioids while taking methadone. Tell your doctor before starting on methadone if you are taking: medicines to help you sleep, such as temazepam. antidepressants (particularly monoamine oxidase inhibitors such as tranylcypromine, phenelzine and isocarboxazid)

Does methadone interact with blood pressure medication?

methadone lisinopril

Lisinopril and methadone may have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate.

What medications should not be taken with trazodone?

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Do not use trazodone with buspirone (Buspar®), fentanyl (Abstral®, Duragesic®), lithium (Eskalith®, Lithobid®), tryptophan, St. Johns wort, or some pain or migraine medicines (eg, sumatriptan, tramadol, Frova®, Maxalt®, Relpax®, Zomig®).

What medications does trazodone react with?

Many medications and substances interact with trazodone. Examples include antidepressants, blood thinners, and sedatives like benzodiazepines.

2. Medications that raise bleeding risk
  • Warfarin (Coumadin, Jantoven)
  • Xarelto (rivaroxaban)
  • Eliquis (apixaban)
  • Pradaxa (dabigatran)
  • Clopidogrel (Plavix)

When should you not take trazodone?

Drugs you should not use with trazodone

Examples of these drugs include: Monoamine oxidase inhibitors (MAOIs), such as isocarboxazid, phenelzine, tranylcypromine, or selegiline. You shouldnt take trazodone with MAOIs or within 14 days of taking them. Taking these drugs together raises your risk for serotonin syndrome.

How much trazodone should I take for sleep?

Trazodone Dosage for Sleep

The starting dose is usually 50 mg to 100 mg dose at bedtime. If needed, the dose can be increased to up to 200 mg at bedtime. Those with both depression and sleep problems may need a higher dose in some cases - up to 300 mg at bedtime.

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Does trazodone interfere with blood pressure medication?

traZODone lisinopril

Lisinopril and traZODone may have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate.

What antidepressants can be taken with methadone?

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Possible clinical implications of these findings are that while escitalopram, reboxetine and venlafaxine do not affect methadones antinociception in mice and are safe to be given together with methadone when indicated, fluvoxamine, clomipramine and desipramine considerably augment methadone-induced effects and should …

Can you mix antidepressants with methadone?

Methadone is considered to be especially lethal when mixed with antidepressants (e.g. Zoloft), alcohol, benzodiazepines, or opioids, although it is highly dangerous when mixed with virtually any substance.

What antidepressants can I take with methadone?

Possible clinical implications of these findings are that while escitalopram, reboxetine and venlafaxine do not affect methadones antinociception in mice and are safe to be given together with methadone when indicated, fluvoxamine, clomipramine and desipramine considerably augment methadone-induced effects and should …

Can Wellbutrin affect my methadone?

Interactions between your drugs

BuPROPion may rarely cause seizures, and combining it with other medications that can also cause seizures such as methadone may increase that risk.

Can I take SSRI with methadone?

Antidepressant medications (especially SSRIs) increase blood levels of methadone. SSRIs must be used in rapid metabolizer patients on methadone. Caution is needed during the MM induction phase. SSRIs are not useful during the detoxification of patients with HUD.

Does trazodone interact with opioids?

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Limit the use of opioid pain medications with trazodone to only patients for whom alternative treatment options are inadequate. If concurrent use is necessary, use the lowest effective doses and minimum treatment durations needed to achieve the desired clinical effect.

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Can you take opioids with Trazodone?

Limit the use of opioid pain medications with trazodone to only patients for whom alternative treatment options are inadequate. If concurrent use is necessary, use the lowest effective doses and minimum treatment durations needed to achieve the desired clinical effect.

What drugs Cannot be taken with Trazodone?

Do not use trazodone with buspirone (Buspar®), fentanyl (Abstral®, Duragesic®), lithium (Eskalith®, Lithobid®), tryptophan, St. Johns wort, or some pain or migraine medicines (eg, sumatriptan, tramadol, Frova®, Maxalt®, Relpax®, Zomig®).

What pain reliever can I take with Trazodone?

No interactions were found between trazodone and Tylenol.

What drugs should not be taken with opioids?

Drugs that may interact with opioid medications include:
  • Alcohol.
  • Anti-seizure medications, such as carbamazepine (Carbatrol, Tegretol, others)
  • Certain antibiotics, including clarithromycin (Biaxin)
  • Certain antidepressants.

References:

Methadone hydrochloride and Trazodone hydrochloride drug

methadone oral and trazodone oral Drug Interactions - RxList

Trazodone for sleep disturbance during methadone maintenance: …

Trazodone - can trazodon help with any of the withdrawls coming …

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